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Kayla Jose Guinhawa
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Santa Maria, Central Luzon, Philippines
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Full-time jobs
Résumé
Jobs
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- BVirtual Assistant- Part TimeBonnie Marie NutritionNov 2025 - Mar 2026 (5 months)• Scheduled patient appointments, processed insurance claims, and reviewed legal forms for accuracy and compliance.
- MMedical Virtual Assistant- Claim AdjudicatorMirra HealthcareJun 2025 - Jul 2026 (1 year 2 months)• Adjudicated CMS1500 and CMS1450 medical claims in compliance with contract provisions, policies, and procedures, ensuring accuracy and adherence to quality standards.
• Analyzed medical claims to determine liability, applied policy provisions, and consistently met productivity and accuracy targets.
• Processed and validated W-9 forms for over 400 vendors, including physicians, independent providers, and medical suppliers, while utilizing multiple EMR systems such as ClaiMaster Portal, ProviderVilla, and UM Calypsoum. - OMerchandising PharmacistOur Builder’s Warehouse - PHJun 2021 - Aug 2021 (3 months)• Managed procurement by ordering and maintaining pharmacy stock to ensure timely product availability and alignment with demand.
• Established and maintained inventory lists and price ranges, supporting profitability and customer accessibility. 
Client SpecialistDevoted HealthJan 2021 - Jan 2025 (4 years 1 month)• Conducted outbound calls to provider offices and pharmacies to verify refills, confirm discontinuations, request cost-effective alternatives, and update member contact information.
• Reconciled pharmacy claims pre- and post-hospital discharge to ensure medication accuracy and continuity of care.
• Coordinated with physicians by faxing pre-admission, post-discharge, and reconciled medication lists, resolving medication-related issues using EMR systems such as Orinoco Portal, CVS Health Client Care Access, and ClinicalKey.- WPharmacy SupervisorWatsons Your Personal Care Store - PHJan 2014 - Jan 2021 (7 years 1 month)• Provided patient counseling on health issues, symptoms, medications, and side effects while supervising prescription preparation and dispensing in compliance with regulatory standards.
• Trained and managed pharmacy staff, maintained inventory control, handled supplier deliveries, and ensured accurate prescription processing.
• Oversaw finance and sales budgets, marketing activities, and promotional displays, contributing to business growth and efficient pharmacy operations.
Education
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- HHIPAA CertificationJul 2026
- SMedical Virtual Assistant MasterclassSync2VA Training GroupOct 2025The Medical Virtual Assistant training covers essential skills such as appointment setting, live scribing and medical transcription, ensuring proficiency in accurate and efficient healthcare documentation. It also includes basic HIPAA training to safeguard patient privacy and guidelines for handling prescription refills with professionalism and compliance.
- BS PharmacyManila Central UniversityJan 2014