R
Ron Jacob Mallari
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Medical Legal Documentation Specialist for Personal Injury Law
Lipa City, Calabarzon, Philippines
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Résumé
Jobs
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Medical Virtual Assistant for Cardiologist and Podiatrist DoctorQuickTeamApr 2023 - May 2025 (2 years 2 months)• Schedule, reschedule, or cancel patient appointments based on provider availability and patient preference, ensuring minimal scheduling conflicts. • Contact insurance providers to verify patient coverage, co-pays, deductibles, and plan benefits prior to appointments or procedures. • Communicate the status of pending or approved prior authorizations to providers, pharmacies, and patients, ensuring clear and timely updates. • Accurately document all communications, insurance details, and authorization status in the EHR system for efficient provider review and audit readiness. • Submit and follow up on prior authorization requests for medications, procedures, and diagnostic tests; coordinate with insurance providers and communicate status up- Medical-Legal Documentation Specialist for Personal Injury Law FirmVirtual staffingSep 2022 - Jan 2023 (5 months)• Retrieved, reviewed, and organized medical records and legal documentation to support litigation and case preparation. • Assisted in preparing case reports and supporting documentation for medical-legal reviews and claims processing. • Coordinated with healthcare providers, insurance companies, and legal teams to obtain required records and ensure timely submissions. • Maintained accurate case files and documentation logs, ensuring compliance with HIPAA and legal confidentiality standards. • Reviewed case files, extracted unnecessary or duplicate documents, and merged records into streamlined PDF files using Adobe Acrobat
- Document Retrieval and Prior Authorization SpecialistHealthyBOSApr 2020 - Feb 2023 (2 years 11 months)• Review patient records and identify required documents such as progress notes, lab reports, and physician orders. • Fax requests to external providers or facilities to obtain necessary medical records, ensuring confidentiality and secure transmission. • Communicate with physicians, nurses, and other departments to gather missing or incomplete information. • Upload retrieved medical records into the patient’s electronic chart, ensuring accuracy, organization, and proper categorization. • Ensure all documentation meets insurance payer guidelines, clinical criteria, and HIPAA privacy and security standards. • Organize and prepare complete documentation packets for prior authorization submissions. • Maintain accurate logs and records of reque
Education
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- IBachelor in Hotel and Restaurant ManagementInternational School of HRMJan 2002 - Jan 2004 (2 years 1 month)