
Sharina Mae Diala
Project Officer/Encoder/Processor

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About me
Operations Supervisor l Remote Healthcare Assistant l HIPAA Certified l Insurance Verification l Customer Service
Education

Lyceum of the Philippines University
-Bachelor's degree Bachelor of Science in International Travel and Tourism Management
Experience

Tourism Infrastructure and Enterprise Zone Authority
May 2014 - Dec 2017Project Officer/Encoder/ProcessorTo supervise the installation of Site Enhancement Materials-Prepares Purchase Request-Interaction with the Supplier and other Government Agencies in preparation of the meetings.-Procurement Process-Create and Finalize Terminal Report-Do Liquidation for Travel Report-Proposed Site Enhancement PlanLocations wherein I handled preparation for ASEAN Summit: Bacolod-March 2017(SMX Bacolod) Bohol-July 2017 (Hennan Hotel and Resort), Palawan-August 2017(Sheriddan Hotel and Resort),Manila – November 2017 (PICC/Clark), Bohol – November 2017 (Hennan Hotel and Resort)Encode Reports, Collection of the Day, Receive Payables, Basic Accounting and othersReceiving collection of Travel Tax Payments, Processing Certificates and Refunds, Sort, Filing of documents and related task Show less

Eau Thermale Avene l'hôtel
Jan 2019 - Mar 2020Beauty Advisor (Sales)Greeting customers upon their arrivalDemonstrating proper use skin care productsCross-selling beauty products, when appropriate (e.g. serums, body lotions and cleanser)Identify customer needs and recommend cosmetics and skin care products based on their preferencesHelp clients find products they’re looking for in our storeEnsure proper presentation of products on shelvesExplain to customers how to use products they’re interested in buyingAdvise customers on how to take care of their skinInform customers on prices and special offersReplenish stock as neededKnow how to speak basic mandarin about skin care Show less

UnitedHealthcare
Oct 2020 - Aug 2023Greeting customers in a friendly, professional manner using the suggested script.Answering telephonic and e-mail inquiries in a timely manner.Furnishing members and health care practitioners with details regarding members' benefits.Granting pre-authorizations for medical treatment, if covered.Advising members of outstanding co-payments.Providing extant and prospective members with the details of network providers.Canceling members' plans upon their request, or due to recurrent non-payment, if directed by your line manager.Ensuring that your workspace remains tidy, and that you are equipped with all relevant tools and resources. Show less
Team Supervisor
Aug 2022 - Aug 2023Healthcare Advocate
Oct 2020 - Jul 2022

Golden Booth
Jul 2021 - Dec 2022Virtual Assistant-Scan social media profiles for events-Grab photos of events flyer from posts and stories.-Upload event flyer via FTP to Admin console-Enter events into Admin console-Enter venue into Admin console-Enter DJ Profiles to Admin Console-Manage Admin console upcoming and past events

Low Voltage Nation
Aug 2021 - Dec 2022Virtual Assistant-Responding to customer inquiries & comments on social platforms in a timely manner -Build relationships with the online community -Monitor and provide feedback on engagement/conversation via social media channels to leadership -Help manage project - Communicate with vendors

Airbnb
Mar 2022 - Jul 2022Host-Manage bookings-answer inquiries from the guest-update management tools

Carelon Global Solutions Philippines
Oct 2023 - Oct 2024Medical Referrals
Jul 2024 - Oct 2024Grievance and Appeals Analyst
Jan 2024 - Jun 2024CPCC/Prescription Refills
Oct 2023 - Dec 2023
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ICare (Insular Health Care)
Nov 2024 - Jan 2025Medical Support AssistantAttends to clients' general inquiries and/or follow-ups on claimstransactions, ID cards, and other similar transactions.Delivers assistance to members.Accepts calls/inquiries from providers.Maintain company spiels and lines that will entice members tocall them regarding their benefit including medical networkinquiries, concerns and LOA issuances.Ensure that the member’s coverage and benefits is discussedappropriately and issue the letter of authorization (LOA).Assist the member during their availment by checking medicalfacility charges and professional fees to maximize member’sbenefits and to prevent incurrence of excess charges beyond thebenefit coverage and advises member on non-covered charges. Show less
Licenses & Certifications

Certified Medical Insurance and Phone verification Course
Janie JobsMar 2025- View certificate

Elementary Education Certification
Saylor AcademyApr 2025 
HIPAA Compliance
Janie HealthMar 2025
Teacher Of English To Speakers Of Other Languages (TEFL)
Teacher RecordApr 2025- View certificate

SmallTalk English Speaking Level Test
SmallTalk2MeMar 2025 - View certificate

Basic Medical Billing and Coding
AlisonOct 2024 - View certificate

Creating Positive Conversations with Challenging Customers
LinkedInAug 2021
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