MA CAMILLE SHANE CANTERO CABIDOY

About the Candidate

OMEGA HEALTHCARE – ORTIGAS CENTER, PASIG | PRIOR AUTHORIZATION

October 2023 – August 2024

-Compiles, uploads, and submits all the above clinical information from Epic required to obtain preadmission approvals and precertification via the Medical Insurance Payer Portal

-Monitors pending cases to ensure that approvals are obtained prior to admission or visit. Informs doctor’s office of any additional clinical requested,

-Follows all cases throughout the duration of the admission, working with Utilization Review (UR) Department every few days in Ontrac to send concurrent review clinicals.

ACCESS HEALTH – SAN FRANCISCO, CALIFORNIA | UTILIZATION MANAGEMENT NURSE

April 2021 – September 2023

-Review medical records.

-Works with insurance companies to provide preauthorization information.

-Reviewing and auditing patient treatment files

-Verifying insurance details and informing patients of un-covered fees.

-Coordinates patient’s discharge planning needs

-Coordinating care between different providers

BEHAVIORAL HEALTH SOLUTIONS – NEVADA, USA | MEDICAL VIRTUAL ASSISTANT

July 2020 – January 2021

-Appointment Scheduling: Manage the scheduling of patient appointments for psychiatric evaluations, therapy sessions, and follow-up visits.

-EHR Management: Maintain and update electronic health records, ensuring the accuracy and completeness of patient mental health histories, diagnoses, and treatment plans. Experienced in using electronic medical record systems such as Practicefusion, Dr Chrono, AthenaOne, AdvancedMD and Point click

care.

-Prescription Refills: Handle prescription refill requests for psychiatric

medications, working closely with pharmacies and ensuring timely responses

to patients.

EXAMS COORDINATOR NETWORK – BOCA RATON, FLORIDA | MEDICAL RECORDS REVIEWER

APRIL 2019 – MAY 2020

-Prepares and assembles medical record documentation/charts for physician(s). transcribe medical record documentation -Utilizing electronic medical record applications.

-Updates patient history, physical exam, and other pertinent health information

-Prepares and sends all documentation to the physician for review and approval via authentication of detailed data entry and facility-specific procedures.

-Monitors the duration of basic lab results and screening procedures.

DEEPSCRIBE | MEDICAL TRANSCRIPTIONIST & MEDICAL SCRIBE

JUNE 2019 – APRIL 2020

Enters the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications.

Ensures medical record compliance by self-documentation attestation.

Updates patient history, physical exam, and other pertinent health information in the patient

Prepares and sends all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures

ALANG – ALANG RURAL DISTRICT HOSPITAL – HOSPITAL STAFF NURSE

June 2013 – December 2018

-Assess the individual’s needs for nursing care based on the patient’s history, and results of physical, diagnostic and laboratory examinations.

-Plans/prioritizes nursing care activities considering the overall health needs of the patient, the extent of his coping abilities including that of his family and significant others and his readiness, acceptance and abilities for self-care.

-Institutes nursing intervention consistent with the overall plan of care with special consideration for his safety and comfort.

-Executes written, legal prescriptions for treatment, therapies, and medication including intramuscular and intravenous injections, special training shall be required and according to the established protocol.