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Rian Lorenz Monsanto

@rianlorenzmonsanto

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Dedicated credentialing specialist with 3 years in customer service.

Philippines

Message

What I'm looking for

I seek a role that allows me to utilize my credentialing expertise while fostering professional growth in a supportive environment.

I am a Credentialing Specialist with over three years of experience in the customer service industry, dedicated to facilitating the credentialing process for behavioral health providers. My role at Optum Global Solutions has honed my skills in discussing qualifications, guiding providers through credentialing applications, and ensuring compliance with network requirements.

Throughout my career, I have demonstrated strong communication proficiency and adaptability, assisting providers in navigating complex credentialing processes. I take pride in educating both providers and staff, ensuring that they understand the importance of accurate credentialing to avoid claim denials. My collaborative approach has allowed me to work effectively with various teams, enhancing the overall efficiency of our operations.

Experience

Work history, roles, and key accomplishments

Credentialing Specialist

Optum Global Solutions

Nov 2022 - Present (2 years 6 months)

Managed credentialing processes for behavioral health providers, guiding them through applications, updating information, and verifying details for denied claims. Educated providers on directory attestation and contract termination, while collaborating internally to resolve issues. Utilized Salesforce for case management and provided support to new hires.

Credentialing Salesforce Customer Service Process Management Communication Collaboration Administration CAQH NPI Registry

Customer Service Rep

Sykes Enterprises Inc.

Oct 2021 - Present (3 years 7 months)

Provided technical support for Intuit Quickbooks Online users, assisting with software functions and troubleshooting issues. Guided clients on financial transactions, reconciliation, and preventative measures. Escalated unresolved cases to higher support tiers.

Customer Service Technical Support Quickbooks Online Troubleshooting Email Communication

Food and Beverage Attendant

Hilton Manila

Jan 2019 - Present (6 years 4 months)

Ensured pleasant customer experiences by preparing customized drinks according to preferences and dietary restrictions. Maintained cleanliness and organization of the coffee bar area. Managed inventory, placed supply orders, and provided recommendations to guests.

Customer Service Inventory Management

Food and Beverage Attendant

EDSA Shangri-La

Apr 2018 - Present (7 years 1 month)

Customer Service Inventory Management

Education

Degrees, certifications, and relevant coursework

Polytechnic University of the Philippines

Bachelor of Science, Tourism Management

2013 - 2017

Completed a Bachelor of Science degree in Tourism Management. The curriculum covered essential areas such as hospitality operations, travel planning, and destination marketing.