Marie Madriaga

MARIE JOYCE MADRIAGA HEALTHCARE VIRTUAL ASSISTANT "Rockstar in Healthcare Management" WORK EXPERIENCE: ACCREDITATIONS AND COMPLIANCE OFFICER (Surgery Center based in US) PROFILE SUMMARY: I am an experienced US accreditation and compliance officer. I am a Nurse by Profession and been in Clinic Management for 5 years for both local and International Clients. A Rockstar in terms of Healthcare Management, Project Coordination and Customer Service SKILLS & EXPERTISE: Transcription (General/Medical) FACILITY -Ensures that the personnel of the facility are properly trained, licensed and certified as mandated by state and federal regulations. - Review applications, verify both individual and facility accreditation, maintain records of verification and work with auditors as needed. - Review and creates existing guidelines and protocols for compliance with internal processes. INSURANCE -Processing and filing reports, confirming provider's information with accrediting and licensing agencies and maintaining a database of provider and client information. -Work closely with insurance agents to supply them with physician and client information and request reimbursement for services rendered to insured clients. Scribing Project Management and Coordination Calendar Management and Scheduling Advance Knowledge in Google Docs/Microsoft Word, Excel and Powerpoint Customer Service Pre Authorization Prescription CONTACT INFORMATION: Address: Salawag, Dasmarinas City, Cavite Phone: (- Email:- live:majofmadriaga FB: facebook.com/virtualassistancebymariemadriaga LinkedIn: @virtualassistancebymariemadriaga INSURANCE CREDENTIALING COORDINATOR | CLINIC SET UP ASSISTANT (Dental Start Up Consulting Firm) - Assures dental clinic is following OSHAS Standard s and prepare necessary paperwork - Coordinates, establish and maintain relationship with provider representatives - Prepare necessary paperwork work insurance credentialing projects - Negotiate Fee schedule for the clinic handled - Look after subordinates performance and timely delivery of projects - Use appropriate verification techniques to manage changes in project scope and schedule - Manage the relationship with the Clients and Agents - Call insurance agencies for follow up and status of the provider - Create email marketing campaigns - Create necessary report for the company CEO and/or Clients MARIE JOYCE MADRIAGA GENERAL VIRTUAL ASSISTANT "Rockstar in Healthcare Management" WORK EXPERIENCE CONT. RECORDS RETRIEVAL SPECIALIST (Third Party Records Retrieval Company) --Follow the standard of HIPAA when retrieving documents --Create Medical summary based on the records retrieved and update it in the system (RRS) -- Create subpoenas to be forwarded to the facility for them to follow the turn around time of retrieving records --Retrieve medical and other healthcare records for U.S. based clients - Call Medical facility and have rapport with the custodian to have the documents needed --Update it in the System for the clients to see what's the progress of their documents --Close coordination with the project manager on how to deal with hard to handle custodian and problems encountered per project TIER 1 LEAD GENERATOR | CLIENT COORDINATOR (Health Insurance Company) - Qualify individuals for the additional benefits offered by the company (Medicaid Additional Benefits) - Enter Data into the clients system - Update CRM CORPORATE CLINIC ACCOUNTS OFFICER HMC Inc- (Local Company) - Maintains and ensure complete manpower of all clinic handled - Make performance review of all staff handled - Maintains closed coordination and establish reports with clients - Ensures that the clinic is based on DOLE-BWC Standards and Policy - Conducts regular Clinic Audit - Ensures successful delivery of Health and Wellness Program and lectures based on Department of Health - Provided utilization report needed by the client - Assists in analyzing data, recommendation and implementation of Wellness Program to the clinics Handled. MARIE JOYCE MADRIAGA GENERAL VIRTUAL ASSISTANT "Rockstar in Healthcare Management" OCCUPATIONAL HEALTH RESOURCE OFFICER | HEAD NURSE 2016 (Active One Health) - Manages all the Administrative duties of the clinic assigned from time to time - Schedules Shift of Nurses and Doctors - Collect all work reports from Nurses regarding day to day activities and creates monthly reports - Assist and conducts health programs for the company - Manages clinic and medicine supplies for the clinic. - Reviews all data/reports made by the NOD before sending it to the employees respective supervisors. - Overall in charge of the Clinic Operations. - Environmental Health and Safety Committee Member. COMPANY NURSE | HR ASSISTANT 2014 (Premier Creative) - Give first aid treatments to employees as needed - Observes and records the condition of the patient - Records Keeping - Health and Wellness implementer - Conducts health and safety inspection as member of the committee STAFF NURSE 2013 (SouthEast Asian Medical Center Inc) - Identifies Nursing needs of patients and performs direct nursing care in conjunction with the required needs as well as the comfort and well being of the patients - Administers prescribed medication and provided the treatment using therapeutic equipment - Observe records and reports to the attending physician and senior nurse about the patient’s condition and reaction to treatment, drugs and other significant incidents Marie Joyce Madriaga, RN Certified Virtual Professional/ Clinic Managemet I am in love with healthcare my whole life, I have a dream of having my own group of credentialing experts helping Physician Business owners in the US. I am no only knowledgeable with direct patient care, but also have knowledge in different facets of Nursing such as Corporate Clinic Management and Industrial Health. I entered the world of Virtual Assistance and earn skills as a Certified Healthcare Professional with a specialty in Insurance Credentialing, Pre Authorizations, Medical Records Management, Scribing and OSHA's and Joint Commission Compliance. i am a young professional who is a risk-taker, tech-savvy, and has a keen eye for detail. When I am not in my office chair helping my clients and personnel, you can see me trying to wrestle to have that work-life balance that I desire,