Kimberly Andres
Healthcare Virtual Assistant at Aptum Virtual Solutions- Claim this Profile
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Topline Score
Bio
Credentials
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Health Care Reform Course
Anthem, Inc for Ingenio Rx.Mar, 2021- Sep, 2024 -
Referral and Authorization Course
Anthem, Inc for Ingenio Rx.Mar, 2021- Sep, 2024 -
HIPAA Compliance Training
Anthem, Inc for Ingenio Rx.Feb, 2021- Sep, 2024 -
US Health Insurance Product Plans Course
Anthem, Inc for Ingenio Rx.Feb, 2021- Sep, 2024
Experience
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Aptum Virtual Solutions
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Philippines
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Outsourcing and Offshoring Consulting
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1 - 100 Employee
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Healthcare Virtual Assistant
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Aug 2021 - Present
• Intake of new patients and referrals. • EMR and EHR management. • Medical Live Scribing and Transcription. • Scheduling, managing cancelations, and sending reminders to patients. • Organizing files in the office's database. • Prior Authorization. • Medical billing and coding. • Followups and checking on patients after appointments. • Prescription refills. • Transferring physical forms into a digital format. • Intake of new patients and referrals. • EMR and EHR management. • Medical Live Scribing and Transcription. • Scheduling, managing cancelations, and sending reminders to patients. • Organizing files in the office's database. • Prior Authorization. • Medical billing and coding. • Followups and checking on patients after appointments. • Prescription refills. • Transferring physical forms into a digital format.
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Legato Health Technologies - Philippines
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Philippines
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IT Services and IT Consulting
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200 - 300 Employee
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Customer Care Representative I
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Feb 2021 - Present
• Perform data entry of inbound provider faxes prior authorization requests into the applicable prior authorization system provided by IngenioRX; • Perform case creation in the applicable prior authorization system provided by IngenioRX; • Based on data that is entered, cases may be auto-approved by the applicable prior authorization system (via the applicable automated algorithms and/or business rules). Scope excludes clinical interpretation of the data collected; and • Conduct minimal outbound scripted calls to Providers for additional information, as required by the applicable policies. Show less
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Accenture
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Ireland
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Business Consulting and Services
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700 & Above Employee
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Care Management Nurse
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Jan 2019 - Jan 2021
• Collaborate extensively with MD/NP, and entire interdisciplinary team to improve quality and completeness of documentation of care provided and coded • Assist in the collection and analysis of risk adjustment data in-order to identify documentation, coding trends and opportunities • Audit medical documentation for accuracy of coding, conflicting or incomplete data. • Provide feedback to team, providers and external/internal business partners of audit findings and make recommendations as necessary. • Keeps current with changes in coding guidelines, compliance, and other relevant regulatory updates • Participate in the development and coordination of education and training that focuses on Risk Adjustment coding and documentation opportunities utilizing a variety of methods to deliver content, such as direct provider collaboration, dashboard and reporting tools, teleconferences and webinars. Show less
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Champion Services
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United States
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Construction
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1 - 100 Employee
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Company Nurse
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Mar 2017 - Dec 2019
• Administered first aid treatment and provide medication for employees as needed. • Assigned to provide care to Company employees and guests. • Provide first aid treatment to guests and employees. • Managed confidential employee files • Referred sick- employee/guest to the nearest hospital. • Home visit done to sick employee and reported the case to company medical doctor. • Acted as a front liner for the employees who require help especially first aid in case of emergency • Administered first aid treatment and provide medication for employees as needed. • Assigned to provide care to Company employees and guests. • Provide first aid treatment to guests and employees. • Managed confidential employee files • Referred sick- employee/guest to the nearest hospital. • Home visit done to sick employee and reported the case to company medical doctor. • Acted as a front liner for the employees who require help especially first aid in case of emergency
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Richmonde Hotels
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Philippines
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Hospitality
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1 - 100 Employee
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Company Nurse
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Aug 2015 - May 2017
● Provides emergency and palliative care and treatment to employees within the legal scope of nursing responsibility such as first-aid treatment, checking of vital signs, health interview, and dispensing of medicine. ● Provided first aid to employees seeking health assistance and/or employees that had injuries. ● Performed physical exams and health histories. ● Administered first aid treatment and provide medication for employees as needed. ● Assigned to provide care to Company employees and guests. ● Provide first aid treatment to guests and employees. ● Managed confidential employee files ● Referred sick- employee/guest to the nearest hospital. ● A home visit is done to sick employees and reported the case to the company medical doctor. ● Acted as a front liner for the employees who require help especially first aid in case of emergency. ● Administers first aid response to employees prescribes remedially and attends to an emergency. ● Independently receives patients and renders nursing care and treatment. Duties and Responsibilities: Telephone Express Operator ● Uses listening skills to put callers at ease and obtains accurate, complete information. ● Answers incoming calls and directs them to guest rooms through the telephone console or to hotel personnel or departments. ● Takes and distributes messages for guests, provides information on guest services, and answers inquire about public hotel events. ● Assists in reporting telephone equipment or service complaints and problems. ● Trains or assists with training new telephone operators in the performance of job duties. ● To be fully aware of and adhere to health and safety, fire and bomb threat procedures. ● Multitasking abilities will always come in handy, because a switchboard operator may be asked to do other jobs as well. Show less
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Emerson
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United States
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Industrial Machinery Manufacturing
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700 & Above Employee
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Monitoring Service Associate
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Mar 2014 - Jan 2015
● Perform basic support function to professionally handle and process alarms, inbound calls, service requests, including but not limited to: troubleshooting, relaying refrigeration / HVAC alarms, dispatching work orders and other customer requests according to customer specifications for a 24/7 department operations. ● Provide service and support to Emerson Retail Solution Customers, internal and external to the Organization. ● The position is responsible for proactively serving the customer with a standard of excellence. This includes all aspects of service support, including Alarm Management functions such as – outbound alarm monitoring, inbound call handling & dispatch, and any other service support alarm monitoring, inbound call handling & dispatch, and any other service support required by Emerson Retail Solution. ● Record activity logs including transactions in MSS in the team’s assigned logging tool/system. Show less
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iPlus Intelligent Network, Inc.
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Philippines
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Outsourcing and Offshoring Consulting
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100 - 200 Employee
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Network Support Associate
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Sep 2012 - Dec 2013
● Provides professional customer service in responding to phone requests for technical assistance from end-users of DSL regarding internet connection, email and system configuration, web loading, and browsing. ● Ensures that proper hardware maintenance is performed (Desktops, Printers, and other Computer related peripherals) over the phone. ● Network monitoring and maintenance. ● Network hardware and software installation, configuration, maintenance, support, and troubleshooting including routers, servers, firewall, and local email systems. ● Troubleshoots basic hardware failure Show less
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Education
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2008 - 2012
Our Lady of Fatima University
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
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