Yet Baguion Rayos

Registered Nurse with extensive experience in occupational health, clinic operations, and healthcare BPO, including utilization review and clinical appeals. Proven track record in managing corporate clinic operations, leading healthcare teams, and ensuring compliance with workplace health and safety standards. Experienced in handling employee health cases, coordinating with providers and payors, and supporting US-based healthcare accounts.

Strong background in both clinical and corporate environments, with a focus on quality, efficiency, and continuous improvement.

Occupational Health Nurse - Sourcetech Solutions Inc.

(2025-01)

• Conducted patient assessment and triage for employees
• Managed clinic operations, documentation, and reporting
• Coordinated with physicians and management
• Maintained compliance with health and safety standards

Occupational Health Nurse - Aventus Medical Care, Inc.

(2020-01 - 2023-12)

• Conducted patient assessment and triage for employees
• Managed clinic operations, documentation, and reporting
• Coordinated with physicians and management
• Maintained compliance with health and safety standards

Accounts Receivable Executive – Clinical Appeals - Omega Healthcare

(2024-01 - 2024-12)

• Reviewed clinical documentation for denied claims and appeals
• Coordinated with payors to validate authorizations
• Utilized payer portals to resolve claims

Clinic Supervisor - Home Health Care Placements, Inc.

(2023-01 - 2024-12)

• Managed 24/7 clinic operations and staff
• Trained personnel and improved clinic workflows
• Ensured compliance with protocols and reporting

Lead Corporate Nurse - General Heat Corporation

(2023-01 - 2023-12)

• Oversaw multiple clinic operations
• Developed workplace health programs
• Managed compliance and documentation

Healthcare BPO Roles - Optum, Shearwater, Access Healthcare

(2017-01 - 2020-12)

• Handled utilization review, appeals, and healthcare coordination
• Ensured data accuracy and compliance with US healthcare standards

Bachelor of Science - Nursing - Trinity University of Asia – St. Luke's College of Nursing (2009-01)