Ishshah Pascual
Las Vegas,United States
Summary
Certified Clinical Medical Assistant (CCMA) and Certified Phlebotomy Technician (CPT) with 6+ years of experience in clinical support, insurance operations, prior authorization, and patient services across U.S. and international healthcare settings. Skilled in EHR documentation, claims processing, utilization support, HIPAA compliance, benefits verification, and patient coordination in high-volume environments. Seeking a remote healthcare role in utilization management, prior authorization, or patient services to support efficient workflows and improved patient care.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Associate Medical Assistant
Optum
Las Vegas
01.2023 - 04.2026
- Completed accelerated 10-week clinical training program covering anatomy, pharmacology, medical terminology, and clinical workflows
- Performed direct patient care including vital signs, EKGs, injections, blood draws, ear lavages, eye exams, and patient positioning
- Supported clinical workflow efficiency in a high-volume outpatient setting
- Assisted providers with in-office procedures and clinical documentation
- Administered patient assessments, ensuring accurate documentation and compliance with healthcare regulations.
- Coordinated patient scheduling, optimizing appointment availability for improved operational efficiency.
Customer Service Representative II
Anthem
Las Vegas
12.2021 - 09.2022
- Handled high-volume inbound calls related to insurance claims, eligibility, benefits, copays, and pre-authorization requirements
- Interpreted and explained insurance coverage policies and medical benefit structures
- Supported members with access to healthcare services including referrals and prior approvals
- Resolved claim issues, eligibility concerns, and billing discrepancies in compliance with HIPAA
- Communicated with providers, members, and insurance departments to resolve service issues efficiently
Member Service Representative
Optum Global Solutions
Quezon City, Philippines
11.2017 - 07.2021
- Processed prior authorizations, precertifications, and medical service requests for inpatient and outpatient care
- Supported insurance claims processing, resubmissions, and denial resolution
- Assisted members with prescription assistance, transportation services, and healthcare access coordination
- Maintained compliance with Medicare, Medicaid, and insurance regulatory requirements
- Delivered consistent customer support in a high-volume healthcare call center environment
- Processed member information using CRM systems to ensure data accuracy and compliance.
Education
Bachelor of Secondary Education -
Polytechnic University of the Philippines
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Phlebotomy Learning Center of Las Vegas
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Institute of American Apprenticeship
Skills
- Prior Authorization & Pre-certification
- Insurance Verification & Claims Processing
- Electronic Health Records (EHR/EMR)
- HIPAA Compliance & Healthcare Regulations
- Medical Terminology & Clinical Documentation
- Patient Intake & Care Coordination
- Remote Patient Support / Call Handling
- Denial Management & Claims Reprocessing
- Microsoft Office (Excel, Word, Outlook)
- Customer Service in Healthcare Settings
- Phlebotomy & Basic Clinical Procedures
- Medical terminology knowledge
Certification
- Certified Clinical Medical Assistant (CCMA), NHA — Active
- Certified Phlebotomy Technician (CPT), NCCT — Inactive
- Basic Life Support (BLS), American Heart Association — Active
Languages
Tagalog
English
Timeline
Associate Medical Assistant
Optum
01.2023 - 04.2026
Customer Service Representative II
Anthem
12.2021 - 09.2022
Member Service Representative
Optum Global Solutions
11.2017 - 07.2021
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Institute of American Apprenticeship
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Phlebotomy Learning Center of Las Vegas
Bachelor of Secondary Education -
Polytechnic University of the Philippines