Talent Headshot
Sidfrey Francisco
sid08sid@gmail.com
09688536287
PH
About Me
My name is Sid Francisco, Im 32 years old with almost 7 years of BPO Healthcare account experienced. I started my career around 2018 in Optum Global Solutions as a Prior Authorization Technician, On 2021, I was a Clinical Nurse Reviewer in Access Healthcare, We are doing Clinical review using Athena Health and initiating prior authorization of outpatient procedure or inpatient admission via portal, fax, and outbound nurse to nurse call, and late 2021, I started my career with Conifer Health Solutions, I am a clinical appeals nurse and we are validating claims, revenue codes, cpt codes, icd10 codes, and verifying if it is being denied clinically and if doing clinical review using the national criteria InterQual and MCG as our guide to verify if the account can be overturned by appeals process. We are doing until the payer exhausted the appeals process. That's all of my experience and looking forward hearing from you
Basic Information
Full Name
Sidfrey Francisco
Email Address
sid08sid@gmail.com
Phone
09688536287
Location
PH
Education
Education Completed
Bachelor Degree
Institution/School
Centro Escolar University
Field of Study
Nursing
Graduation Year
2012
Current Enrollment
Graduated
GPA/Grade
2.0
Certifications
Achievements
Work & Experience
Company Name 1
Conifer Health Solutions
Job Title
Clinical Appeals nurse
Start Date
22/11/2021
End Date
28/11/2024
Job Description
verifying denied claim, utilization review, and appeal writing.
Company Name 2
Job Title
Start Date
End Date
Job Description
Hourly Charge
Employment Type
Professional Skills
Technical Skills
Data Analysis & Data Science
Creative Skills
Business Skills
Communication