Ronel R.
Mid-Level Healthcare Administrative Specialist
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About
Ronel R. is a seasoned back-office specialist with over 5 years of experience in healthcare support and administrative operations. Based in the Philippines and working remotely for U.S.-based organizations, Ronel excels in insurance verification, prior authorizations, and medical billing. His proficiency in managing electronic health records and executing front-office coordination is enhanced by his strong commitment to HIPAA compliance. Ronel's professional background includes roles such as Virtual Administrative Medical Assistant at Whitefish Chiropractic Center, where he managed operations for three high-volume clinics, and MedSpecialized Inc., where he improved first-pass approval rates for authorization requests. At Optum Global Advantage, he was promoted to Subject Matter Expert, where he trained over 15 new hires and created operating procedures. Ronel is technically adept with tools like ChiroTouch, Practice Fusion, and Microsoft 365, making him a reliable asset in streamlining healthcare administrative processes.
Experience
Virtual Administrative Medical Assistant
Whitefish Chiropractic Center (via MedVA)Oversaw back-office tasks for three busy U.S. chiropractic clinics, focusing on scheduling, billing, and patient coordination. Conducted real-time insurance eligibility verification, which minimized claim rejections and unexpected patient bills. Managed the scheduling of over 40 patient appointments each day for various services. Established automated appointment reminders using ChiroTouch/ChiroUp, resulting in a drop in no-show rates. Ensured patient intake records and provider calendars were accurate and compliant with HIPAA regulations.Virtual Administrative Medical Assistant
MedSpecialized Inc.Assisted U.S. specialty practices with the prior authorization process and electronic chart management. Conducted daily audits of charts against office reports to confirm documentation completeness before submission to payers. Prepared authorization requests with necessary clinical documentation, thereby enhancing approval rates. Organized physician referrals and ancillary service appointments to facilitate continued patient care.Subject Matter Expert / Medical Billing Investigator / Patient Care Coordinator
Optum Global AdvantageAdvanced to Subject Matter Expert, where responsibilities included training over 15 new hires and developing standard operating procedures. Investigated coverage for medical benefits, payer contract details, and authorization criteria in line with U.S. plan policies. Ensured the accuracy of ICD-10 codes for therapy prescriptions to support billable claims. Offered precise patient cost estimates to enhance billing clarity. Coordinated the home delivery of specialty medications in partnership with medical professionals and gathered patient consent. Handled complex billing issues as a Level 2 Clerk.
Skills & Expertise
Education
- Bachelor of Science in NursingMedical College, Pagadian City, Philippines · — — 2008
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