Ronnie Ortiz, USRN
Marikina City, Metro Manila
Summary
US Licensed Nurse. Clinical training professional with robust background in developing and delivering training programs that enhance clinical skills and patient care. Pharmaceutical professional with experience in drug safety monitoring and regulatory compliance. Known for strong analytical skills, attention to detail, and ability to manage adverse event reporting. Healthcare professional prepared for dynamic role of Precertification Specialist.Experienced healthcare professional prepared for demanding emergency room environments.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Appeals and Grievances- Clinical Trainer II
Concentrix
12.2024 - 06.2025
- Actively sought feedback from both trainers and trainees to identify areas for improvement within the program, leading to continuous refinement of course content and delivery methods.
- Fostered a supportive learning environment that promoted open communication, active listening, and constructive feedback between trainers and trainees.
- Ensured regulatory compliance by staying current with industry standards and incorporating updates into training materials as needed.
- Developed strong relationships with external partners to support continuous professional development opportunities for staff members beyond internal offerings.
Pharmacovigilance Nurse
Cognizant Technology Solutions
03.2019 - 07.2024
- Mentored new nursing staff members, fostering teamwork and improving unit efficiency.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Supported pharmacovigilance efforts by reporting adverse drug reactions accurately and promptly to regulatory agencies as required.
- Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
- Promoted a safe and comfortable healing environment by addressing patient concerns promptly and professionally.
Utilization Management Nurse/Billing,Pre-Auth
Hinduja Global Solutions
02.2016 - 03.2019
- Provided exceptional customer service in handling billing inquiries, resolving disputes promptly and professionally.
- Kept all patient information secure and confidential.
- Handles patient billing inquiries.
- Tracks claim status and follows up on denied claims.
- Maintained up-to-date knowledge of insurance policies, guidelines, and regulations to ensure accurate pre-authorization approvals.
- Monitored trends in denied or delayed authorizations, implementing corrective actions as needed to minimize future occurrences.
Emergency Staff Nurse
Marikina St. Vincent General Hospital
11.2013 - 02.2016
- Assessed vital signs, collected detailed patient history and noted other signs of patient health to make rapid, informed decisions regarding next steps in patient care.
- Facilitated patient education on disease prevention, self-care management, and medication adherence for optimal health results.
- Prepared, administered, and documented medications and intravenous infusions on physician orders.
- Reduced emergency room wait times through efficient triage and prioritization of critical cases.
- Enhanced patient satisfaction by providing compassionate and individualized care to each patient.
Education
Bachelor of Science - Nursing
Pamantasan Ng Lungsod Ng Marikina
04-2012
Skills
- Patient assessment
- Medical Billing
- Prior-Authorization
- Utilization Management
- Pharmacovigilance
- Patient care
- Clinical expertise
- Training delivery
Personal Information
Title: US Registered Nurse, State of New York
Six Sigma- Yellow Belt
Certification
University of New York, Registered Nurse
Timeline
Appeals and Grievances- Clinical Trainer II
Concentrix
12.2024 - 06.2025
Pharmacovigilance Nurse
Cognizant Technology Solutions
03.2019 - 07.2024
Utilization Management Nurse/Billing,Pre-Auth
Hinduja Global Solutions
02.2016 - 03.2019
Emergency Staff Nurse
Marikina St. Vincent General Hospital
11.2013 - 02.2016
Bachelor of Science - Nursing
Pamantasan Ng Lungsod Ng Marikina
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