LOVELY CRISTINE TEOPACO
REGISTERED USRN/ MEDICAL VIRTUAL ASSISTANT
E - -e Porac Pampanga Philippines
SUMMARY
SKILLS
A seasoned Medical Virtual Assistant with a strong commitment
to providing high- quality administrative and clinical support to
healthcare practitioners.Skilled in medical terminology, patient
records administration and insurance management. Devoted to
optimizing workflows, upholding HIPAA standards and improving
the effectiveness of medical facilities. Knowledge on how to
verify patient's insurance coverage and eligibility for the
requested services. Maintain accurate and organized records of
prior authorization requests, approvals and denials . Experienced
prior authorization reviewer ( Medicare) .
Excellent Communication Skills
Organized
Tech-Savvy ( Microsoft )
Adaptable
Time Management
Critical thinking
Multitasking
Resourceful
Team Player
Medical Terminologies
EXPERIENCE
Prior Authorization Reviewer Nurse (Medicare &
Retirement account)
Optum Global Solution
02/2017 - 04/2023
Quezon City Philippines
Subsidiary of UnitedHealth Group, leading health solution and care
delivery organization. Optum provide technology and related services,
pharmacy care services and various direct healthcare services
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Perform medical necessity review for services that require prior authorization
utilizing specific criteria Medicare cases
Discuss cases with treating physicians and other healthcare professionals to
gather necessary information in order to review the requested services or to
give determination on a case
Request clinical information necessary to review requested services
Consult with the Medical Director as needed to troubleshoot/ secondary
review for difficult or complex cases
Staff Nurse
Angeles University Foundation Medical Center
12/2007 - 05/2012
Angeles City Pampanga Philippines
Provided exceptional patient care to Medical Surgical Unit, managing
patient care plans and collaborating with multi-disciplinary teams.
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Prior Authorization Review
Insurance verification
Email Management
TRAINING/COURSES / CERTIFICATION
u
Medical Virtual Assistant Training
Health Insurance Portability and
Accountability Act Training
k
US Registered Nurse, State of Texas
x
Philippine Registered Nurse
Administered medications and treatments to patients, resulting in improved
overall health and comfort.
Evaluated patient progress and provided education and emotional support to
patients and their families.
Assisted in the development and implementation of new protocols to improve
patient outcomes.
Collaborated with multi-disciplinary teams to provide comprehensive patient
care.
Maintained accurate and up-to-date patient records and documentation.
EDUCATION
Bachelor of Science in Nursing
Angeles University Foundation
2003 - 2007
www.enhancv.com
Angeles City Philippines
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