I'm a nurse with 5+ years experience handling US healthcare accounts. My previous roles included Quality Assurance and Quality Control (utilization review), Medical Transcription, and as an Appeals and Denials Nurse.
I have worked with clinicians, patients, insurance companies and other stakeholders to ensure that they have all of the information they need to make informed decisions regarding options while at the same time offering solutions.
I have worked in the medical field in various capacities, including quality assurance and audits. I am also responsible for ensuring that the medical documentation as well as requests for treatment authorization are appropriately reviewed based on protocols and procedures, state guidelines and evidence-based criteria.
In addition to those, I have prior experience in general transcription and also performing other administrative tasks.
I am looking for a long-term job in an organization that offers not only great pay, but also the opportunity to grow within the company as my career progresses.
WORK EXPERIENCE:
Freelance Transcriptionist
2010 - Present
Quality Assurance Specialist (Utilization Review)
Shearwater Health Advisors Inc.
August 2021 – August 2022
Quality Assurance and Quality Control Nurse (Utilization Review)
Shearwater Health Advisors Inc.
January 2020 – August 2021
Reports Specialist
Medcor, Inc.
2019 - August 2019
Senior Process Associate (Medical Editor/Transcriptionist and Nurse Reviewer)
Cognizant Technology Solutions, Inc.
2013 – April 2016
Nurse Trainee - ICU
Vicente Gullas Memorial Hospital
June 2015 – December 2015
General Transcriptionist
Babbleglass Philippines, Inc.
July 2010 – December 2011
Volunteer Nurse
San Carlos City Hospital
May 2009 – July 2009
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