Clarence Tolentino

Detailed-oriented IP/OP Insurance Coordinator with 13 years in managing authorizations, insurance revision, verifying the patient eligibility and coverage ensuring compliance with regulations. Excellent leadership, communication, and problem-solving skills.

 Supervising the IP/OP insurance coordinators 

 Processing/Sending Emergency,Elective IP, DayCase ( All Department )

  Processing Revision IP, OP 

 Processiong Claims, ( Submission, Re-submission )

  Knowledgeable with DRG code, CPT code, ICD10, HCPCS

  Coordinating with all Insurance company to ff up the approvals/request 

 Coordinating with the External Hospitals/Visiting Dr’s 

 Knowledgeable in DHPO, Eclaims, 3M’s, EMR and other system 

 Supervising All request and colleagues

  Checking the Insurance Coverage and Non Covered 

 Always updated in Coding Guidelines

Tertiary Level 2003- 2007 Our Lady of Fatima University Bachelor of Science in Nursing