Ethel Bernardo

 ETHEL C. BERNARDO, RN HVA PROFILE: I am a Professional Nurse with over 10 years of extensive experience in the U.A.E. and in the Philippines providing complete nursing care to the patients keeping in mind the holistic approach, so as to attain complete physical, mental, social and spiritual well-being of the individual. Respect to the people, giving importance to their beliefs, culture, practices and religion are some of my principles in life. I am a team player, committed in delivering results and contributing to the growth of others. Engaging, communicative, outgoing, work focused and decisive. I am highly motivated person with dedication to work. With 6 years of BPO experience working as a CSA, Claims Analyst and Claims processor handling inbound, outbound, enail, fax and sms. I am flexible, hardworking and a fast learner. I am computer literate and skilled communicator with effective written, interpersonal and problem-solving technique. I have excellent administration skills, data entry and HVA skills. PROFESSIONAL DEVELOPMENT/STATUS: DEGREE : Bachelor’s Degree in Nursing (4 year course) Centro Escolar University LICENCES : Philippine Licensure Examination PASSED December 1994 Department of Health Dubai Licensure Exam PASSED June 1998 Dubai, UAE PROFESSIONAL EXPERIENCE SKILLS : 1) Live Charting: Experience a hands on training while you join the exam room and live-chart the patient’s visit in real time. Send Referral Requests Send Lab and Imaging Requests Composing Medical/Physician Letters 2) Administrative roles such as: Chart management Preparation of charts Updating Charts Prior authorization Pre authorizations Uploading of charts from Updox to EMR such as Practice Fusion & Eclinical Works Phone Calls Scheduling Appointments/Confirming Appointments Calling patient for instructions/reminders on medications Triage Phone answering service Medical Records Sending medical records request through faxes or phone calls Responding to medical records request 3) Medical Transcription: Transcribing, Editing and Proofreading utilizing AAMT BOS. Medical Writing - Articles You specialization: Others: 1.       Summary of Records 2.      ICD 10 Coding 3.      Insurances/Medical Claims etc. 4.      Prescription refills 5.      Utilizations 6.      Medical Billing PIMA NEUROLOGY Healthcare VA May 25, 2018 up to the present 400 W Magee Rd. Tucson AZ, 85704 DUTIES & RESPONSIBILITIES Works as Healthcare Virtual Assistant & MA Checking eligibility and benefits of the patients. Updating the patient’s charts. Calling insurances obtaining prior authorization for medications and imaging procedures. QBE INSURANCE Taguig BGC, Philippines April 2013 – July 2016 Claims Analyst/Claims Processor DUTIES & RESPONSIBILITIES Handles inbound, outbound, email, sms and letters to our insured for Property and Valuable Claims Lodge, Evaluate, Request for pertinent documents (Photos & Police report) to support their claim, Request for Adjuster from Australia for investigation. Decline if claim violates the exemptions and approved if all requirements are met. Issue decline letter to the Insured. Ensure that all claims that being handled are updated in a timely manner. Data entry of Medical, Dental and Pharmacy claims for Worker’s Compensation Consistent Top Agent for Highest Productivity for 2 years Top Agent during the Training IBM DAKSH Techno Hub Quezon City, Philippines August 2012 – April 2013 CSR Collection Department Top Agent for Highest Productivity Top Agent in Quality DUTIES AND RESPONSIBILITIES Handles outbound call for Portfolio and Home Loans. Handles loan with arrears less than 30 days. Ensures that clients are being treated well. Record all payments that has been promised by the clients for the day Maintain a positive and professional approach with coworkers and customers CONVERGYS San Lazaro Manila, Philippines September 2009 – June 2011 CSA DUTIES AND RESPONSIBILITIES Handles inbound calls for Medical, Dental Pharmacy Account. Validate all callers to avoid Breach. Ensures that all requested information has been provided to the providers and clients. Provide customer satisfaction. Provide all the medical, dental and pharmacy benefits of the clients. Escalate calls when needed. Take ownership to all calls being handled. Provide accurate information to the Pharmacists. Do override to the medication. Send fax forms for Medication’s prior authorization to the Doctor’s Office Approved Pre-authorization for refills. Monitor if Controlled drugs has been claimed in other Pharmacy to avoid double claims. Provide breakdown of benefits to the providers and frequencies of dental procedures. Give status of a claim paid or pending and explain why still unpaid. Take track of the check # and issue date. Inform the eligibility as well as the cancellation date of the member. Top Agent for the Month of April 2010 Top Team MEDICAL INTERNATIONAL SPECIALIST CENTRE Dubai, U.A.E General Nurse cum Admin (ENT,General Surgery,Plastic Surgery) April 2004 – July 2006 DUTIES AND RESPONSIBILITIES Admit patients during consultation with the Doctor. Assist the Doctor during Consultation. Work as endoscopy nurse. Work as a team toward providing better services as a professional team. Admit patients during (Laser assisted Uvulo Palatoplasty consultation with the Doctor. Assist the Doctor during examination Prepare instruments before routine surgery. Assist the Doctor during surgery such as (Coblation of the inferior turbinates, LAUP- Laser Assisted Uvulo Palatoplasty, Laser of Inferior turbinates,Coblation or Laser in treating snoring under local anaesthesia, insertion of grommets, excision and Biopsy. Assist in endoscopy during nasal endoscope and sinuscope under local anaesthesia Assist in doing needle aspiration. Assist post op patients from Tonsillectomy and Septoplasty. Prepare the files, laboratory results, consents and approval from the insurance of the patients a day before the surgery like Tonsillectomy, Adenoidectomy and Insertion of Grommets. Assist the Doctor while doing the Hearing Test. Knows how to take the pressure of the middle ear using the Impedence Machine. Assist the Doctor during ear suction and prepare the medicines which will be used later on. Keeping the instruments in cidex for 10 minutes and place it in the autoclave after. Files and maintains patient’s individual medical records which includes medical examination results, X-ray files, and other pertinent documents; keep accurate record of medical and nursing car rendered in the clinic. Making booking for surgeries in the Operation theatre (Affiliated Hospitals) Assist in cauterization of the nose using AgNO3 (Silver Nitrate) under local anaesthesia Assist in performing lip augmentation, administering botox and fillers. Assist in performing mild liposuction under local anaesthesia. Clean the dressing of patients who are post op from breast augmentation, tummy tuck, Blepharoplasty, Rhinoplasty. Assist in treating thrombus piles, hemorrhoidectomy under local anesthesia Assist in performing proctoscopy and Rectal exam. Autoclave the surgical instruments and Do cold sterilization for endoscopes. ADMIN DUTIES AND RESPONSIBILITIES Screening, hiring and supervising personnel developing and enforcing policies and procedures; and ensuring optimal patient relations Knowledge of insurance processes, new medical treatments and government guidelines Take track of the employee’s records, Expiry of Visas, Application of Permanent Residency for employees under Visit Visa, Labour Cards and Health Card, Benefits and Annual Leaves. Assist VIP patients such as (Royal families ex. Sheikhs, Sheikha), Diplomats and Government officials. CHARLY POLYCLINIC Dubai, U.A.E. Staff nurse cum Admin (Medical, Gynaec, Dental and Peadiatrics) February 1998 – April 2004 DUTIES AND RESPONSIBILITIES Admit patients during consultation with the Doctor. Assist the Doctor during Consultation Work as a team toward providing better services as a professional team. Administer IV drip if needed. Responsible in collecting specimens/samples from the patient and sending it to the laboratory for testing. Assist the Doctor in taking the ECG. Giving nebulization, oxygen and do chest tapping to asthmatic patients as ordered by the Doctor. Complies statistics for vaccination documentation, both written and computer encoded. Prepare the files, laboratory results, consents and approval from the insurance of the patients a day before the surgery. Files and maintains patient’s individual medical records which includes medical examination results, X-ray files, and other pertinent documents; Keep accurate record of medical and nursing car rendered in the clinic. Do inventory every end of the month. Responsible in checking the medical supplies. DENTAL Assist the Dentist in doing oral surgical procedures such as implants and surgical Extractions, Set up instruments, equipment and materials and assures that everything is ready and properly arrange with the accordance to the requirements for sterility. Anticipate the Doctor’s needs every stage of the procedure like passing the instruments and materials. Prepare meds and solutions for irrigation. ADMIN DUTIES AND RESPONSIBILITIES Screening, hiring and supervising personnel developing and enforcing policies and procedures; and ensuring optimal patient relations Knowledge of insurance processes, new medical treatments and government guidelines Take track of the employee’s records, Expiry of Visas, Application of Permanent Residency for employees under Visit Visa, Labour Cards and Health Card, Benefits and Annual Leaves. Assist VIP patients such as (Royal families ex. Sheikhs, Sheikha), Diplomats and Government officials. Issue Medical Certificate as per Doctor’s order. JUBILEE CHRISTIAN ACADEMY Quezon City, Philippines SCHOOLNURSE December 1996 – June 1997 DUTIES AND RESPONSIBILITIES To maintain the health and hygiene of the students by preventive and promotive care. Assist the Doctor in conducting routine physical examination. Emergency intervention of acute emergencies and transfer to the nearest hospital for continual care. Give first aid to the students as needed. Preparing vaccination programs to complete the immunizations to be carried out during school periods. Prepare monthly report on the services provided by the health team to the school. To diagnose and monitor communicable diseases and practice isolation techniques, so as to prevent the spread of diseases to maintain optimum health of the school. To conduct health education classes to improve the existing standard health. File and record the health chart of the students. UMINGAN MEDICARE HOSPITAL Umingan Pangasinan, Philippines VOLUNTEER NURSE (Medical Ward) March 1995-December 1996 DUTIES AND RESPONSIBILITIES Providing Complete Nursing care keeping in mind the holistic approach. Assist the Doctor in conducting routine physical examination. Admit patients to provide effective nursing care based on the observation of symptoms, physical and mental conditions to evaluate and provide supportive care. Accurate reporting of facts including evaluation of the whole case such as updating laboratory results, x-ray reports and requests. Assist patients in daily activities. Render bed bath for level I and II patients. Nursing care plan SOAPIE format for all assigned patients | CERTIFICATIONS AND SEMINARS HIPAA CERTIFIED September 2009 Convergys Seminar on SARS Rashid Hospital Dubai, UAE 2002 Basic Life Support Rashid Hospital Dubai, UAE 2005 EDUCATION College : Centro Escolar University Manila, Philippines Degree:Bachelor of Science in Nursing Graduated :March 1994 Secondary:Angelicum School Quezon City, Philippines Degree:High School Graduated:March 1989 Primary:St. Patrick School, Quezon City, Philippines Degree:Elementary Graduate:March 1985 REFERENCE Ara Charlene Icban QBE Insurance Michelle Arcenal IBM Daksh