BACHELOR OF SCIENCE IN NURSING
University of Cebu – Banilad Campus | 2009
Registered Nurse

PROVA GENERAL VA TRAINING
December 2025

QUICKBOOKS ONLINE TRAINING
Clyde Loise Figueroa
June 2026

Detail oriented Medical Virtual Assistant with over 7 years of experience in utilization review, medical records analysis, 8 years in combined customer service and technical support. Experienced in supporting US based healthcare team remotely by reviewing medical documentation, verifying patient charts, processing insurance-related tasks, and managing case workflows. With this experience, I bring detail oriented and extensive experience in data verification, documentation review, administrative support, accuracy, reliability, and the ability to work independently in fast-paced remote environments.

MEDICAL REVIEW ANALYST / UTILIZATION MANAGEMENT SUPPORT
EXL Service Philippines | Cebu City | June 2019 – Present

• Review medical records and clinical documentation to support insurance approval or denial decisions.
• Verify patient charts, demographics, and healthcare facility data for accuracy.
• Assist in utilization management processes for U.S.-based healthcare insurance clients.
• Coordinate and assign medical cases to licensed U.S. nurses for further clinical review.
• Maintain high accuracy while handling sensitive healthcare information.

CUSTOMER AND TECHNICAL SUPPORT REPRESENTATIVE
Qualfon Philippines Inc. | Cebu City | January 2011 – June 2019

• Provided phone and technical support for telecommunications customers.
• Resolved customer service concerns while maintaining high satisfaction scores.
• Managed remote phone number transfers across network carriers.
• Maintained detailed documentation of customer interactions and service updates.

NURSE TRAINEE
St. Vincent General Hospital | Cebu City | June 2010 – September 2010

• Assisted operating room nurses and physicians during surgical procedures.
• Performed circulating nurse and scrub nurse responsibilities under supervision.
• Maintained sterile environments and assisted with surgical instruments.

• Medical Chart Review & Documentation
• Insurance Claims & Utilization Management Support
• Patient Demographic & Record Verification
• Healthcare Data Entry & Quality Assurance
• Customer Service & Technical Support
• Remote Communication & Team Collaboration
• Attention to Detail & Confidential Data Handling
• Prior Authorization
• Utilization review
• HIPAA compliance
• Accounts Payable
• Accounts receivable
• Bank reconciliation
• Data Verification