Claudine Salvadora
Healthcare Virtual Assistant
Cavite
Summary
Organized Virtual Assistant dedicated to improving accuracy and efficiency by maintaining and developing administrative and procedural processes. Focused and communicative individual possessing superb data entry, time management, and customer service skills. Offering 5 years of experience providing quality administrative support to clients.
Overview
4
4
Certifications
19
19
years of professional experience
Work History
Medical Virtual Administrative Assistant
Advanced Foot and Ankle Care
09.2023 - 05.2026
- Streamlined office processes with effective email management, resulting in better communication and faster response times.
- Handled confidential information discreetly, ensuring the privacy of clients and executives.
- Increased productivity by providing timely administrative support to multiple project teams simultaneously.
- Elevated executive support services with timely preparation of presentation materials utilizing PowerPoint slideshows and informational handouts.
- Independently scheduled and registered patients to ensure minimal waiting time.
- Answered and handled all phone calls in a friendly and efficient manner.
- Checked patient's demographic information, processed payment plans and copays. Commanded by managers for accuracy and organization.
- Verifying patient's insurance eligibility and benefits coverage.
- Manages patient referrals by gathering clinical documentation, securing insurance authorizations, and coordinating specialist appointments.
- Entering electronic health records accurately while strictly following HIPAA regulations and privacy protocols.
Medical Virtual Assistant / Administrative Assistant
Foot and Ankle Clinic of Spokane
04.2022 - 08.2023
- Insurance verification / Claims and Denials review
- Intake position - received inbound and outbound calls
- Prior Authorization for procedures and medications
- Patient scheduling / Confirming patients’ appointments
- Referral coordinator
- EMR personnel - inbox management, data entry if patient information, transfers and sorts files
- Auditing and creating patients’ charts
- Fax management and Auth tracking
- Voicemail transcriptions
- Billing and Posting Non-claim charges and patient payments
Utilization Management Intake Coordinator
Cognizant Technology Solutions Philippines
03.2021 - 04.2022
- Process incoming fax or call request for authorization by entering key information including CPT and ICD-10 codes into the Utilization Management system
- Pre-screen a Utilization Management review request for completeness and determine if appropriate for UM review
- Ensuring that all demographic information of the patient or member is correct and updated in the system
- Handling health information consistent with department and company policies and regulatory requirement
Medical Bill Reviewer and Treatment Plan Nurse
Cognizant Technology Solutions Philippines
02.2020 - 03.2021
- Encodes billing information for medical services in the Worker’s Compensation Utilization Management software by using the correct ICD-10 and CPT codes
- Review medical bills for treatments and services performed for the client’s members
- Makes a recommendation on the medical bill using technical, medical manuals, state fee schedules and relative evidence-based guidelines
- Reviewing of medical records to create and update the patient’s treatment plan and also to obtain information pertinent to the claim such as comorbidity and surgeries
- Ensure that patient’s healthcare benefits cover required procedures
Shift Manager
Max’s Group Inc
07.2015 - 11.2019
- Leading front-of-the house and back-of-the house teams
- Managing inventory
- Managing finances
- Hiring, onboarding and training new employees
- Streamline operations
- Set policies and processes
- Monitoring daily employee performance
- Managing employee schedules
- Provide guidance and feedbacks to employees when needed
- Ensuring quality of food and service
- Ensuring customer satisfaction
- Handling complaints
Shift Supervisor
Starbucks Philippines
06.2007 - 02.2015
- Anticipates customer and store needs by constantly evaluating environment and customer for cues
- Training, onboarding and assisting new hires by positively reinforcing successful performance during shift
- Provides feedback to store manager on partner performance during shift
- Delivers legendary customer service to all customers
- Executes store operations during scheduled shift
- Providing quality beverages, whole beans and food products consistently for all customers
- Cash management
- Inventory management
- As a District Coffee master, I schedule and execute coffee seminars in each of the stores in the district as part of our commitment of sharing our knowledge about coffee to our customers
Education
Bachelor of Science - Nursing
Emilio Aguinaldo College
Manila01.2005
Skills
Insurance verification
Medical Bill Review
Claims and Denials Review
Chart Notes Creation
Medical records review and management
Fax and Email management
Scheduling
Data entry
ICD/CPT codes / Medical terminologies
Healthcare customer service
Phone management
Office / Practice bookkeeping
Certification
Philippines Registered Nurse
Timeline
Medical Virtual Administrative Assistant
Advanced Foot and Ankle Care
09.2023 - 05.2026
Medical Virtual Assistant / Administrative Assistant
Foot and Ankle Clinic of Spokane
04.2022 - 08.2023
Utilization Management Intake Coordinator
Cognizant Technology Solutions Philippines
03.2021 - 04.2022
Medical Bill Reviewer and Treatment Plan Nurse
Cognizant Technology Solutions Philippines
02.2020 - 03.2021
Shift Manager
Max’s Group Inc
07.2015 - 11.2019
Shift Supervisor
Starbucks Philippines
06.2007 - 02.2015
Bachelor of Science - Nursing
Emilio Aguinaldo College