Account Receivable Executive – Authorization Nurse - Omega Healthcare
(2024-06 - 2026-07)
- Evaluate patient medical charts, physician notes, and laboratory results against established clinical guidelines to determine if a requested treatment is appropriate
- Doing calls, emails and checking insurance portals, bridging communications between hospital staff, clinical providers, and insurance payers to resolve coverage bottlenecks
- Log detailed electronic health record (EHR) workflows, maintaining a structured paper trail for approvals, denials, and subsequent healthcare decisions.
Company Nurse - D and L Industries
- Provide basic healthcare services to employees.
- Promoting Health and assisting injured patient
- Educate patients and the public about various health conditions
Healthcare Associate, Clinical Abstractor, Subject Matter Expert – Pre Auth-Clinician - Hinduja Global Solution (Sagility Phils.) - 15th floor Zeta Tower Bridgetowne, Quezon City
(2013-10 - 2024-05)
- Identifying overpayment and validation if recovery is valid or invalid
- Provides appropriate explanation regarding overpayment
- Making sure of provider's satisfaction
- Sending written correspondence
- Reviewing medical records
- Abstracting oral and Intravenous therapy for cancer patient
- Identifying disease progression
- Updating latest trends in cancer treatment
- Initiating prior authorization by submitting a request form to a patient's insurance provider.
- Responsible for reviewing and analyzing medical records to extract key data and information.
Clinical Instructor - Arellano University - Legarda Manila
(2005-06 - 2011-10)
- Managed classroom
- Supervised students and made sure that appropriate care is being provided to patients
- Conducted interdisciplinary team meetings, collaborated with physicians regarding patient progress, treatments, and care planning
- Maintained and established good rapport with staff and patients
- Responsible for providing excellent health care
Emergency Room Nurse - Corazon Locsin Montelibano Memorial Regional Hospital
(2003-05 - 2005-06)
- Responsible for patient care, Providing emergency, critical nursing
- Always ready to give care to patients of any age with any condition, and have an accurate assessment in high stress and possibly life-threatening situations
- Knowledgeable with patient's plan of care, treatments, medications.
- Maintained and established good rapport with staff and patients
Medical Representative - Zuellig Pharmaceutical
(2000-01 - 2003-05)
- Increase product awareness
- Knowledgeable regarding the product
- Problem solving skills and time management
