Mark Lester Antonio

Mark Lester Antonio

About

Detail

Registered Nurse
Central Luzon, Philippines
Contact Mark regarding: 
work
Full-time jobs
Starting at USD7/hour

Timeline

work
Job
school
Education

Résumé

Jobs verified_user 0% verified
  • Medcore Solutions
    Prior Authorization Specialist
    Medcore Solutions
    Jun 2025 - Mar 2026 (10 months)
    • Obtain PA request from provider via payer portal, fax, or phone.
    • Verify completeness of required information (patient details, CPT/ICD-10 codes, ordering/servicing provider.
    • Verify patient eligibility and benefits and confirm active coverage.
    • Check benefits plan coverage limitations, and PA requirements.
    • Review payer guidelines to confirm authorization requirements.
    • Identify if request is urgent or standard.
    • Collect relevant medical records (progress notes, labs, imaging, treatment history)
    • Ensure documentation supports medical necessity for claims processing.
  • N
    Staff Nurse 1
    Nueva Ecija Medical Center
    Jul 2023 - Aug 2024 (1 year 2 months)
    • Triage: assessing the severity of patient's conditions and prioritizing the care.
    • Patient care: administering medications, performing wound care, starting IV lines, and monitoring vital signs.
    • Documentation: keeping accurate records of patient care, treatments, and progress.
    • Patient Education: explaining diagnoses, treatments, and follow-up care to patients and their families.
    • Equipment management: ensuring that electronic medical records are well maintained.
  • A
    Management Trainee
    Access Health Care, Philippines
    Nov 2019 - Mar 2023 (3 years 5 months)
    • Worked closely with other team leaders, quality team, and agents to provide high-quality standards for health based on ISO standards of health care.
    • Create action plans that contribute big impact in the improvement of baseline processes.
    • Basic support on the workflows to the team.
    • Upskilling team members for their growth.
  • A
    Quality Analyst
    Access Health Care, Philippines
    May 2017 - Nov 2019 (2 years 7 months)
    • Quality check of daily process from the operations.
    • Weekly calibration.
    • Revision of workflow with the training team as necessary.
    • Work and support the operations for process improvement. Negotiate with vendors, plan and propose workflows.
  • A
    Client Specialist
    Access Health Care, Philippines
    Jan 2016 - May 2017 (1 year 5 months)
    • Obtain benefits and eligibility for all medical, surgical, pharmaceutical, and DME services.
    • Provide service for multiple clients per day for both website and outbound calls.
    • Provide benefits and eligibility for most US coverage for both commercial and federal insurance.
    • Obtain prior authorization for medical, surgical, DME and pharmacy from both commercial and federal insurance.
    • Review patient clinicals and provide accurate information to the insurance to obtain 100% approval of the procedure being requested by the provider.
    • Ensuring electronic medical records are in place.
    • Navigating MS forms, MS excel, MS teams, Athena Health EMR, Zoom, Citrix, BCBS all states, Aetna, Humana, Tricare, Medicare,
Education verified_user 0% verified
  • D
    Nursing
    Dr. Gloria D. Lacson Foundation Collages Inc.
    Jun 2006 - Apr 2010 (3 years 11 months)
    San Leonardo, Nueva Ecija, Philippines