Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Interests
Timeline
Generic
Lorelie Yeth Binondo-Ramos

Lorelie Yeth Binondo-Ramos

Registered Nurse
Talisay City

Summary

Professional Summary

Registered Nurse with over five years of healthcare experience and a strong interest in public health nursing, mental health, trauma-informed care, and health education. Passionate about advancing holistic, evidence-based, and community-centered healthcare through health promotion, disease prevention, early intervention, patient advocacy, and interdisciplinary collaboration to improve individual and population health outcomes.

Committed to advancing a comprehensive approach to healthcare that extends beyond treating symptoms by identifying and addressing the underlying biological, psychological, social, environmental, and systemic determinants of health. Dedicated to strengthening health systems and supporting evidence-based strategies for the prevention, early detection, control, and management of communicable and non-communicable diseases through patient-centered care, health education, and community engagement.

Interested in contributing to community outreach programs, public health initiatives, research, and healthcare innovation that foster healthier, more resilient communities. Passionate about integrating public health with environmental sustainability and biodiversity conservation, recognizing that human health is intrinsically connected to healthy ecosystems. Committed to advancing healthcare innovations that improve health outcomes while preserving biodiversity, promoting environmental stewardship, and maintaining the ecological balance essential for sustainable and resilient communities.

Overview

8
8
Certifications
14
14
years of professional experience

Work History

Medical Analyst

Innodata Knowledge Services Inc
11.2021 - 03.2023
  • Analyzed complex medical data for accuracy and compliance, supporting informed clinical decision-making.

Dialysis Nurse

Fresenius Medical Care
06.2018 - 11.2019
  • Administered hemodialysis treatments, monitored patient vitals, and managed complications to ensure safe renal care, enhancing treatment adherence.

Staff Nurse

South General Hospital
01.2018 - 05.2018
  • Administered patient care, coordinated multidisciplinary treatment plans, and monitored clinical progress to enhance recovery outcomes at SOUTH GENERAL HOSPITAL.

Insurance Billing Specialist/Account Receivable

PracticeMax (US Based Healthcare Billing Company)
07.2017 - 01.2018
  • Managed insurance claims processing and accounts receivable reconciliation at PRACTICEMAX, reducing claim denials by 20% and accelerating revenue cycle turnaround.

Data Entry Encoder / Medical Summarization Unit Reviewer / Claims Adjudication Adjuster (Subject Matter Expert)

Optum Global Solutions / UnitedHealth Group
06.2011 - 07.2017
  • Reviewed and validated medical summaries and claims data with precision to ensure accurate adjudication and compliance, enhancing claim processing efficiency and reducing error rates within Optum Global Solutions.
  • Accurately reviewed and encoded medical data, analyzed claim details for compliance and accuracy, and provided expert adjudication decisions to optimize claims processing efficiency and ensure regulatory adherence at Optum Global Solutions / UnitedHealth Group.
  • UnitedHealthcare Insurance

NURSE VOLUNTEER (EMERGENCY DEPARTMENT)

VICENTE SOTTO MEMORIAL MEDICAL CENTER
01.2011 - 04.2011

Assisted in triaging patients, administering emergency care, and coordinating with medical staff to enhance patient outcomes and reduce wait times in a high-volume emergency department.

PHARMACY ASSISTANT

VICSAL DEVELOPEMENT COPORATION METRO GAISANO AYALA PHARMACY
07.2009 - 01.2010

Assisted in accurately dispensing medications, managing inventory, and providing customer support to ensure efficient pharmacy operations and high patient satisfaction at METRO GAISANO AYALA PHARMACY.

Education

Bachelor of Science - Nursing

Cebu Doctors’ University
Mandaue City
03-2009

Secondary Education - undefined

San Juan National High School
San Juan, Southern Leyte
03-2004

Elementary Education - undefined

Guinsaugon Elementary School
Guinsaugon, St. Bernard, Southern Leyte
03-2000

Skills

Certified Medical Summary Reviewer-Medical Records Summarization Unit

Certificate of Completion-Claims Processing Full Adjudication Training- UnitedHealth Group

Fresenius Institute Dialysis Nurse Training

Variable Life Insurance Training and Life Insurance Training, Health Insurance Training

Patient Bedside Care, Total Care in General Ward setting

Computer literate, MS Word, MS Excel Sheets, MS Office Applications,

Certificate of Recognition-Most Outstanding Quality Performance-UnitedHealth Group

Award for Excellence-Medical Terminology 350 By Dean Vaughn Author

Understanding Climate Change (Science, Causes and Current Realities)- Center of Health Development Calabarzon (June 2026)

Core Team of Cebu City Mental Health Council

Member of Philippine Mental Health Association (PMHA) Inc

Interpersonal communication

Member of Philippine Mental Health Association (PMHA) Inc

Core Team of Cebu City Mental Health Council

Affiliations

Member of Philippine Mental Health Association (PMHA), Inc

Certification

Fresenius Institute Dialysis Nurse Training Sep 2018 — Sep 2018

Interests

I love reading wide variety of research books, scientific studies books, and humanitarian works

Timeline

Medical Analyst

Innodata Knowledge Services Inc
11.2021 - 03.2023

Dialysis Nurse

Fresenius Medical Care
06.2018 - 11.2019

Staff Nurse

South General Hospital
01.2018 - 05.2018

Insurance Billing Specialist/Account Receivable

PracticeMax (US Based Healthcare Billing Company)
07.2017 - 01.2018

Data Entry Encoder / Medical Summarization Unit Reviewer / Claims Adjudication Adjuster (Subject Matter Expert)

Optum Global Solutions / UnitedHealth Group
06.2011 - 07.2017

NURSE VOLUNTEER (EMERGENCY DEPARTMENT)

VICENTE SOTTO MEMORIAL MEDICAL CENTER
01.2011 - 04.2011

PHARMACY ASSISTANT

VICSAL DEVELOPEMENT COPORATION METRO GAISANO AYALA PHARMACY
07.2009 - 01.2010

Elementary Education - undefined

Guinsaugon Elementary School

Secondary Education - undefined

San Juan National High School

Bachelor of Science - Nursing

Cebu Doctors’ University
Lorelie Yeth Binondo-RamosRegistered Nurse