VA|Nurse|Disability/Specialty Benefits|Pre-auth|Medical Coding|CSR
Cavite
I am a registered nurse with a vast experience in Customer Service, Medical Process, and other similar skills.
Principal Global Services , full_time
Jul 2025 to Present
Manage inbound calls from employees, employers, and medical providers. Provide claim status updates and guide claimants through required steps to ensure timely completion. Handle claims related to accident, hospital indemnity, critical illness, wellness, and short-term disability benefits.
Molino Doctors Hospital , full_time
Mar 2024 to Jan 2025
Assisted in major and minor surgical procedures in the Operating Theatre. Implemented preoperative and postoperative care protocols for each patient. Provided bedside care and fulfilled general nursing responsibilities.
Freelancing , freelance
Jan 2017 to Feb 2024
Worked with multiple clients on administrative and specialized tasks. Performed Amazon product listing, image/video annotations, and medical transcription. Taught English to foreign students online. Handled chat support and other client-driven services. Annotated infrastructure and building layouts for AIrelated projects.
Optum, full_time
Feb 2016 to Oct 2016
Reviewed patient medical records and assigned appropriate ICD-10 and CPT codes. Maintained accuracy and adherence to HIPAA regulations. Collaborated with healthcare providers to clarify documentation.
EXL (Aetna Insurance), full_time
May 2014 to Feb 2016
Received inbound calls from healthcare providers for procedure precertification. Verified and approved procedures using ICD-10 and CPT codes. Ensured compliance with healthcare standards and HIPAA guidelines.
The Palmridge School , full_time
Mar 2012 to Mar 2014
Served as an adviser and English teacher for students in various grade levels. Prepared lesson plans, quizzes, and exams aligned with the school curriculum. Conducted parent-teacher meetings and maintained student records.
Cocentrix (Convergys), full_time
Dec 2010 to Dec 2011
Received inbound calls in a telecommunication account. Resolved billing, troubleshooting, upgrades, walkthroughs, replacements, and other related customer concerns