Experience

Alpha Hormones®

• United States
• Medical Practices
• 1 - 100 Employee

• Virtual Healthcare Assistant

  • Jan 2021 - Present

  1. Managing inbound and outbound calls to and from patients, providers, and healthcare insurance companies regarding inquiries, appointments, and data verification (maintaining great phone etiquette). 2. Navigating through different EMR (Electronic Medical Records) systems such as "power2practice, acuity scheduling". 3. Navigating other systems like "RingCentral, Doxyme, Body site, and Evexia. Pharmacy "Quest quantum, LabCorp, Change Healthcare, EmpowerRX" 4. Verifying the healthcare insurance coverage and eligibility 5. Providing administrative support which includes (data entry, appointment scheduling/rescheduling. 6. Establishing a professional relationship with medical professionals and patients; Acts as a primary liaison between patients and providers 7. Strict adherence and compliance with the HIPAA policy Show less



ADEC Innovations

• United States
• Business Consulting and Services
• 500 - 600 Employee

• Clinical Nurse Specialist

  • Jun 2019 - Feb 2021

  1. Performs Utilization Management (UM) reviews in accordance with U.S. State/Federal and other mandated regulations. 2. Maintains compliance with regulatory changes affecting UM. 3. Performs UM reviews prospective/concurrent/retrospective for inpatient and outpatient services according to the prescribed standards and client requirements and/or policies. 4. Reviews UM requests for services against established clinical review criteria, referring cases not meeting criteria to a physician reviewer or prescribed escalation protocol. 5. Adheres to Department of Labor, State, and company UM timeframe requirements. 6. Coordinates physician reviewer referrals as needed and follows up timely to obtain and deliver those results. 7. Tracks the status of all UM in progress. 8. Releases UM determinations to claim stakeholders following client-established protocols. 9. Works closely with the management team in the ongoing development and implementation of UM programs. Show less



Medical Center Imus

• Imus, Calabarzon, Philippines

• Dialysis Nurse

  • Jan 2019 - Apr 2019

  1. Primes dialyzer and bloodlines 2. Records patients’ medical information and vital signs 3. Readies dialysis equipment 4. Oversees the dialysis treatment from start to finish 5. Cannulates accesses 6. Demonstrates the ability to remove femoral sheaths & administer medications, including thrombolytics 7. Cleans and dresses permanent and temporary catheters 8. Monitors patient and adjusts specialized equipment used on patients, and interprets and records information 9.Identifies irregular dialysis reactions and notifies appropriate medical team members 10. Secures blood works 11. Teaches patients and significant others how to manage their illness, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication, if needed 12. Maintains medical inventory 13. Provides pre- and post procedure care to patients within the Hemodialysis Unit 14. Performs other position-related duties as assigned, depending on assignment setting Show less



CAVITE DIAGNOSTIC STROKE CARE CENTER

• Tanza, Calabarzon, Philippines

• Dialysis Nurse

  • Jul 2018 - Dec 2018

  1. Primes dialyzer and bloodlines 2. Records patients’ medical information and vital signs 3. Readies dialysis equipment 4. Oversees the dialysis treatment from start to finish 5. Cannulates accesses 6. Demonstrates the ability to remove femoral sheaths & administer medications, including thrombolytics 7. Cleans and dresses permanent and temporary catheters 8. Monitors patient and adjusts specialized equipment used on patients, and interprets and records information 9.Identifies irregular dialysis reactions and notifies appropriate medical team members 10. Secures blood works 11. Teaches patients and significant others how to manage their illness, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication, if needed 12. Maintains medical inventory 13. Provides pre- and post procedure care to patients within the Hemodialysis Unit 14. Performs other position-related duties as assigned, depending on assignment setting Show less



IQVIA

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Data Management Analyst

  • Jul 2014 - Jan 2017

  1. Manage outbound calls 2. Under guidance, performs basic quantitative or qualitative analyses to support the development of solutions for internal or external client project teams. 3. Creates specifications for reports and analysis based on business needs and required or available data elements. 4. Directly produce datasets and reports for analysis using existing IQVIA tools. 5. Verifies data for accuracy and completeness. 6. Performs audits of own work or that of others to ensure conformance with established procedures or to resolve routine issues. Show less