Nanderson da Silva
Medical Coordinator @Best Doctors Insurance
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WORK HISTORY
Medical Coordinator @Best Doctors Insurance
Miami, FL, US
A Medical Coordinator at Best Doctors Insurance Services (now part of Teladoc Medical Experts) reviews and authorizes medical services by evaluating provider requests, requesting medical information, explaining benefits, and negotiating fees. This role requires knowledge of policy benefits, medical coding, and clinical best practices to ensure member care aligns with policy guidelines while providing excellent client service. The position involves direct interaction with members, agents, and providers, often under a Medical Admin Supervisor. Evaluate requests for medical services and authorizations, requiring independent judgment and knowledge of policy benefits. Request necessary documentation from members and providers for service evaluations. Excellent communication skills for interacting with members, agents, and providers. Ability to work independently and as part of a team. Fluency in English, Portuguese and Spanish since working with LATAM.
EDUCATION
Southwestern Adventist University
International Business
ABOUT NANDERSON DA SILVA
Medical Coordinator
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