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Luigi Cabatingan
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Mandaue, Central Visayas, Philippines
Résumé
Jobs
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Scheduling & Sales Specialist | Care Plan SpecialistPearl TalentDec 2024 - Feb 2026 (1 year 3 months)• handle incoming calls and inquiries regarding the device
• provide product information and assists potential patients on
scheduling appointments with the specialists
• manage patient's appointment (e.g. follow-ups, cancellations,
reschedules or additional instructions for the appointments if needed)
• coordinate with clinicians and Clinical Coordinators regarding the
patient's appointments and care plans
• transcribe clinician explanation, diagnosis, and treatment plans
accurately
• educate patients on medication, lifestyle modifications and
preventive care measures.
• Verified patients' commercial insurance, explaining benefits and coverage to ensure clarity and manage expectations.<- AMedical Case ReviewerAcclaimed BPO SolutionsSep 2023 - Sep 2024 (1 year 1 month)• review patient's charts and medical records to check for diagnoses,
treatments, and procedures were properly documented prior
predetermination (Orthopedics)
• Assess medical necessity of treatments or procedures based on
Interqual and MCG guidelines
• Identify errors or inconsistencies in documentation and billing codes.
• schedule peer-to-peer calls to review predetermination and
determine patient's medical necessity - Medical Virtual AssistantMy Mountain MoverApr 2022 - Sep 2023 (1 year 6 months)• prepare patient's chart prior their set appointment date with the
physician (Cardiology and Mental Health)
• Upload medical records to the patient's chart that are vital for patient's
care
• process patient's medication refills, prior authorizations, and
verification of insurance
• answer inbound and outbound calls concerning patient's inquiries,
scheduling/rescheduling appointments, and follow-ups. - BTier 2 NurseBRJ Brig's Outsourcing ServicesJul 2018 - Mar 2022 (3 years 9 months)• Audit and review medical claims
• Documenting vital changes related to patient care
• Confirming appeal charges after initial review and audit
• ensure medical compliance with payer rules, medical necessity
guidelines and federal regulations (HIPAA or CMS) - OStaff Nurse I - Medical-Surgical UnitOur Lady of the Rule Maternity and General HospitalAug 2014 - Oct 2017 (3 years 3 months)• Record patient symptoms, vitals, treatments, and medication in the
patient chart.
• Perform bedside care and pre- and post-operative monitoring.
• Administer medications, insert catheters, and monitor intravenous
fluids as prescribed
Education
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- UBachelor of Science in NursingUNIVERSITY OF CEBU - BANILADJan 2011