Virginia Silaigwane
Dallas,TX
Summary
Dedicated medical administrator with over 15 years of diverse healthcare experience. Known for energetic and personable approach to patient care. Currently serving as a Medical Care Management Care Worker within the AHF Ryan White Care Management Program. Excels at delivering culturally and linguistically sensitive services to clients. Strong skill set in facilitating the Ryan White eligibility process and managing essential benefit paperwork. Collaborates effectively with Care Managers, medical providers, and office staff to ensure optimal client engagement and support. Committed to upholding organizational mission and core values. Focuses on enhancing patient outcomes through compassionate care and effective communication.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Care Worker
AHF
2024.09 - Current
- Complete timely initial intake paperwork for each patient, including applications for financial and Ryan White eligibility services
- Maintain current knowledge of Ryan White benefit structures, policies, and procedures related to service authorization
- Contact clients according to acuity levels and care plan parameters, providing support and monitoring progress
- Review care plans to ensure medication adherence and attendance at physician appointments, providing necessary data to Care Managers
- Assist Care Managers in scheduling assessments and re-assessments for clients
- Create and update authorizations as directed by the Medical Care Manager Supervisor or Medical Director
- Contact clients via phone or mail to remind them of medical appointments to improve attendance and reduce no-shows
- Conduct follow-ups to determine client attendance at medical and care management appointments, promoting adherence and risk reduction behaviors
- Ensure clients are referred to substance abuse services, mental health treatment, housing assistance, and emergency financial assistance as outlined in care plans
- Document referrals and follow up to ensure clients complete the referral process for accurate tracking
- Maintain an updated list of referral sources to promote client self-efficacy and advocacy skills
- Adhere to and maintain performance and productivity standards
- Attend and participate in weekly interdisciplinary care conferences and healthcare center huddles, presenting issues related to individual client care
- Perform other duties as assigned to support the care management team and client needs.
Medication Aide
Forest Lane Senior Living LLC
2023.12 - 2024.08
- Enhanced patient health by accurately administering prescribed medications according to schedule
- Followed directions of licensed nurses to administer medications and treatments
- Upheld infection control and prevention policies across different patient-facing areas
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information
- Documented patient information and care activities in electronic health record
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery
- Identified and reported medication errors to avoid distributing wrong medication to patients
- Reordered medication to maintain adequate supply
- Unpacked, sorted, counted, and labeled all incoming medications to keep optimum inventory levels
- Monitored medication storage area to maintain medication security and control
- Documented medication administration into electronic medical records (EMR) to avoid duplication of medication dosages
- Administered medications to patients and remained vigilant for negative side effects
- Administered prescribed drugs to high-volume patient caseload
- Facilitated seamless shift changes by thoroughly documenting medication administration activities for incoming team members.
Caregiver
Compassionate Residential Living LLC
2022.11 - 2023.09
- Assisted clients with personal care tasks, including bathing, dressing, grooming, and medication administration
- Provided companionship and emotional support, engaging in conversations and activities that promote mental and emotional well-being
- Managed household chores such as meal preparation, light housekeeping, and laundry, ensuring a clean and organized living space
- Monitored clients' health and reported any changes in condition to healthcare professionals, facility owner, and family members
- Accompanied clients to medical appointments and participated in medication management as directed
- Implemented customized care plans tailored to individual needs, fostering independence and enhancing quality of life
- Maintained a safe and clean environment for patients, reducing risks and ensuring optimal health outcomes
- Administered medications as prescribed, ensuring accurate dosage and timely administration for maximum efficacy
- Coordinated closely with family members regarding updates on patient conditions or concerns that arose during the course of caregiving duties.
Medical Billing Manager
Estelle Bouwer Medical Accounts Administrators
2020.10 - 2022.07
- Led a team of 10 medical billers to ensure accurate and timely submission of claims, resulting in a 8% decrease in claim denials
- Implemented streamlined processes, reducing billing errors by 20% and increasing revenue recovery by 15%
- Collaborated with cross-functional departments to optimize billing procedures and resolve payment discrepancies.
Senior Medical Biller
Estelle Bouwer Medical Accounts Administrators
2018.01 - 2020.10
- Managed full-cycle medical billing for a high-volume specialist practice maintaining a 2.5% clean claims rate
- Conducted regular audits to ensure compliance with coding and billing regulations, leading to a 5% reduction in audit discrepancies
- Trained new staff members on billing procedures and software systems.
Medical Practice Manager
HealthCubes Clinics
2015.10 - 2017.05
- Lead a team of 7 permanent staff members and locum Doctors, including administrative, clinical, and support staff
- Streamlined billing and coding procedures
- Implemented electronic health records system, improving patient record accuracy and accessibility
- Developed and executed staff training programs to ensure compliance with POPI act (South Africa confidentiality and protection of personal data act)
- Increased patient satisfaction through improved appointment scheduling, time management, and communication.
Education
Associate of Applied Science - Nursing
Dallas College
Dallas, TX05.2026
Skills
- Experience delivering culturally and linguistically sensitive services
- Competent in facilitating Ryan White eligibility processes and managing benefit paperwork
- Effective in collaborating with Care Managers, medical providers, and office staff
- Strong interpersonal skills for maintaining client engagement
- Excellent verbal and written communication abilities
- Skilled in employing techniques to enhance client contact and support
- Committed to patient-centered care and support
- Strong understanding of organizational mission and core values
- Experience handling financial screening forms and advance directive choices
- HIPAA Compliance
- EMR / EHR
Certification
BLS Certification, 02/2023, 02/2025
Timeline
Care Worker
AHF
2024.09 - Current
Medication Aide
Forest Lane Senior Living LLC
2023.12 - 2024.08
Caregiver
Compassionate Residential Living LLC
2022.11 - 2023.09
Medical Billing Manager
Estelle Bouwer Medical Accounts Administrators
2020.10 - 2022.07
Senior Medical Biller
Estelle Bouwer Medical Accounts Administrators
2018.01 - 2020.10
Medical Practice Manager
HealthCubes Clinics
2015.10 - 2017.05
Associate of Applied Science - Nursing
Dallas College
BLS Certification, 02/2023, 02/2025
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