Lance Sison

Background

About Lance Sison

Job experience: OPTUM GLOBAL SOLUTIONS INC. Pharmacy Benefits Analyst From October 2022 to January 2023 Clinical Administrative Coordinator From February 2023 up to present JOB DESCRIPTION: Creates and implements pharmacy claims from US clients Analyze benefit requests and secure all necessary data to ensure appropriate implementation based on applied logic of Rxclaim. Reconciling eligibility discrepancies, analyzing transactional data & submitting eligibility changes Manages the intake of members or the admission/ discharge information Enter the required data into the naviHealth database accurately and in a timely manner. Coordinate care management platform and communicate approved pertinent information with healthcare providers and / or naviHealth team as needed. Skills and Qualification: Organized and efficient worker, quick-learner, easily adapts to the working environment. Computer Literate ( Excel, Word, Powerpoint, Outlook and Microsoft Teams) Excellent skills in written and oral communication and collaboration ( English and Filipino) Hands on experience with applications such as (RxClaim, RxConstruct, EWD, Onbase, Citrix, UNET) Knowledge of CPT Codes and diagnosis