Mary Antoneth Manzanares
mary.tompag@gmail.com
09070336319
PH
About Me
My name is Mary Antoneth Manzanares, and I have 6 years of experience with Accenture in the US Healthcare sector. I've held various roles, starting as a Prior Authorization Specialist, I processed authorization requests for medical services, ensuring compliance and timely decisions while collaborating with healthcare providers.
As a Contract Analyst, I reviewed health insurance contracts for accuracy and compliance, and facilitated amendments when needed. In my Implementation Analyst role, I entered and verified health insurance data, ensuring it adhered to guidelines like HIPAA.
Most recently, as a Healthcare Associate/Quality Assurance, where I verified provider information and conducted audits to ensure compliance with standards.
I’m detail-oriented, proactive, and thrive in roles that require precision and collaboration. I’m excited to bring my skills in healthcare operations and compliance to a new opportunity.
Basic Information
Full Name
Mary Antoneth Manzanares
Email Address
mary.tompag@gmail.com
Phone
09070336319
Location
PH
Education
Education Completed
Bachelor Degree
Institution/School
Sacred Heart College
Field of Study
Bachelor of Secondary Education Major in Mathematics
Graduation Year
2017
Current Enrollment
Graduated
GPA/Grade
2.75
Certifications
Achievements
Work & Experience
Company Name 1
Accenture
Job Title
Contract Analyst
Start Date
01/06/2022
End Date
16/01/2024
Job Description
Contract Review: Carefully examines health insurance contracts and identify and understand the terms
and conditions, coverage limits, reimbursement rates and other pertinent details. I assess the contract
language and provisions to ensure clarity and accuracy
Compliance Evaluation: Assess health insurance contracts to ensure compliance with applicable laws,
regulations and industry standards.
Contract Amendments: When necessary, contract analysts help facilitate and document contractual
amendments or modifications. I ensure that any changes to contracts are properly executed and
communicated to the relevant parties.
Company Name 2
Accenture
Job Title
Prior Authorization Specialist
Start Date
07/12/2018
End Date
14/07/2022
Job Description
Process Authorization Requests: Efficiently process and evaluate prior authorization requests for
medical procedures, medications, and services, ensuring timely and accurate decisions according to
clinical guidelines.
Collaborate with Healthcare Providers: Communicate with physicians, medical staff, and healthcare
providers to gather necessary documentation for pre-certification, ensuring all required information is
complete and meets approval criteria.
Ensure Compliance: Monitor and enforce compliance with company policies and regulatory
requirements in all pre-certification processes, including ensuring that all documentation and approval
procedures are in place.
Monitor Turnaround Times: Ensure timely processing of pre-certification requests by adhering to
turnaround times and communicating delays or issues to relevant stakeholders.
Provide Support to Team: Assist team members with complex authorization cases, offering guidance on
policies, procedures, and best practices related to the pre-certification process.
Hourly Charge
Employment Type
Professional Skills
Technical Skills
Data Analysis & Data Science
Creative Skills
Photography | Copy writing & Content Creation | Photography | Copy writing & Content Creation
Business Skills
Communication