Clephane Saldaña

Primary role is to assist in-patient and out-patient members Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements) Maintains updated records and prepares required documentation to support the insurance claims.

Medical Claims Analyst - iCare-Cebu-City - Cebu City

(2022-01 - 2026-01)

• Primary role is to assist in-patient and out-patient members
• Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements)
• Maintains updated records and prepares required documentation to support the insurance claims.

Medical Analyst - Innodata-Mandaue - Mandaue

(2021-08 - 2021-12)

• Responsible for reviewing and summarizing data according to project specifications and standards.
• To classify and analyze medical records.

Senior Aesthetician - My Sanctuary Wellness Center Inc.

(2019-11 - 2020-03)

• Responsible for providing excellent clinic treatment and procedure to clienfs
• Renders treatment/services to client according to standard procedures
• Explains the treatment/services to the given client and its effects
• Does marketing/suggestive selling of skin care products to be used after treatment
• Performs other related tasks assigned by the BM from time to time like inventory and bank transactions

Public Health Associate - Department of Health-Cebu City, Cebu - Cebu City, Cebu

(2017-07 - 2017-12)

• Assist in the collection and validation of health related data/information
• Participate in the analysis of health related data/information.
• Assist in the encoding/updating of data/information in the established DOH information Systems.
• Submit health reports/data/information to DOH Regional Office and Central Office.
• Coordinate with different stakeholders for the submission of national health data reports
• Assist in the preparation of project proposals, plans, health promotion and communication materials and other related documents
• Participate in the development of health related programs and strategies;

Admitting Clerk - Vicente Sotto Memorial Medical Center-Cebu City, Cebu - Cebu City, Cebu

(2017-06 - 2017-07)

• Interact with patients and their families to obtain registration information.
• Prepare and process all admitting forms relating to patient admission.
• Prepare documents on clinical information for appropriate treatments.
• Verify insurance and other eligibility criteria.
• Ensure compliance of hospital policies and procedures from patients and their families.

Institutional Worker - Vicente Sotto Memorial Medical Center-Cebu City, Cebu - Cebu City, Cebu

(2016-03 - 2016-05)

• Assist Computer related works
• Prepares medical supplies ( Gauze pad, NGT, Saction Catheter, ETC. )
• Packing of Instruments ( Cut down set, Mini suturing set, ETC. )

Southwestern University-Cebu City (2009-06 - 2015-05)