Marieth Catorce

A dedicated and analytical Registered Nurse with over 5 years of multifaceted experience across inpatient clinical care, virtual medical support, and healthcare customer operations. Possesses a unique skill set combining hands-on ward floor management with specialized healthcare BPO, utilization management, and virtual medical assistant expertise. Skilled in clinical documentation, appeals navigation, patient care coordination, and healthcare policy compliance.

Healthcare Customer Service Representative at Sagility, Inc. (2022-02 – 2025-04)

• Managed professional inquiries regarding healthcare insurance policies, authorization codes, patient deductibles, and complex claim adjudications.
• Executed utilization management protocols, facilitating appeals processing for determinations regarding approvals and denials.
• Reviewed, audited, and resolved errors within standard approval and denial letters to ensure compliance with medical policies and regulatory guidelines.
• De-escalated intense customer and provider issues by clarifying backend medical policies, systemic coverage exclusions, and network distributions.
• Maintained precise internal electronic documentation across secure customer databases following strict data privacy protocols.

Medical Virtual Assistant at Synergy Health DPC (2019-07 – 2022-01)

• Provided virtual healthcare support by managing multiple accounts, including home health care, medical scribing, and prescription refill coordination.
• Delivered patient assistance and ensured accurate clinical documentation across remote platforms.

Staff Nurse – Ward Department at Metro Antipolo Hospital and Medical Center, Inc. (2017-03 – 2019-07)

• Delivered comprehensive bedside nursing care within a 99-bed secondary private hospital facility, managing up to 25 patients daily across the Ward department.
• Handled diverse medical cases covering newborn well-babies, acute pediatric cases, post-operative recoveries, and critical geriatric management.
• Partnered directly with attending physicians to manage medication regimens, execute doctor's orders, and track critical changes in vitals.

Bachelor of Science in Nursing in Nursing – Our Lady of Fatima University – Antipolo Campus (2012 – 2015)