Clinical Practice Assistance in Health Maintenance Organization Occupational Health Nursing and Out Patient Care utilizing knowledge & Nursing skills, communication skills, relationship management & analytical skills to produce significant patient- focused results. An Experienced Registered Nurse in;
Overview
14
14
years of professional experience
4
4
years of post-secondary education
Work History
MEDICAL CARE COORDINATOR
Marine Benefits Inc.
07.2020 - Current
Front line representative
Claims adjudication based on procedure and medical plan coverage.
Handle calls from clients, members, and providers.
Communicate with providers on cashless claim services.
Establish a good rapport and assist members on their queries / concerns from all communication platforms.
Handle the P&I cases outside P&I Team working hours.
Extract claims utilization reports.
OCCUPATIONAL HEALTH NURSE
New Kinpo Group
09.2019 - 03.2020
Managed the delivery of occupational health services, applying principles of health promotions while maintaining a safe and healthy environment in the occupational setting.
Maintains records of vital statistics and other pertinent data of patient/worker.
CUSTOMER MANAGEMENT ASSISTANT
Medicard Phils. Inc.
01.2014 - 08.2019
To provide assistance to all phone-in inquiries and request regarding, but not limited to, customer assistance, customer complaints, in-patient and outpatient verification, membership status, etc., and to coordinate with other departments, if necessary in order to address such concerns.
OCCUPATIONAL HEALTH NURSE
OnSemiconductors Phils.
07.2013 - 01.2014
Responsible for the development and administration of efficient and professional operations of occupational health services in accordance with company policies, practices, procedures, and applicable regulations to achieve the desired goals and objectives.
Assists with all aspects of health services staffing, competency, processes, customer service, and quality improvement.
STAFF NURSE
AMSVAAR Diagnostic & Multispecialty Centre
01.2011 - 07.2013
Provide quality care and assistance to patients and doctors in the clinics.
Handles the administration of ECG, BP, and other medical services for Pre-employment (PE), Annual Physical Examinations (APE), Applicant's Examinations and Consultations.
Prepares and files necessary reports of all medical services handles by the Clinic section.
Registered Respiratory Therapist at University of Perpetual Help - Dr. Jose G. Tamayo Medical CenterRegistered Respiratory Therapist at University of Perpetual Help - Dr. Jose G. Tamayo Medical Center