Open to opportunities

Jennevieve Carrillo

@jennevievecarrillo

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Registered nurse with extensive clinical and claims appeal experience.

Philippines

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What I'm looking for

I am seeking a nursing role that leverages clinical expertise and claims/operations experience, offers leadership responsibilities, professional growth, and a patient-centered, collaborative culture.

I am a registered nurse with broad clinical experience across hospital wards, specialty clinics, and occupational health settings. I have worked in oncology, neurology, medical/surgical, psychiatric, COVID-19 facilities, and diagnostic eye clinics, delivering hands-on patient care and assessments.

In addition to bedside nursing, I transitioned into healthcare operations and administrative roles including customer-care nursing, HR nurse duties, and claims appeal consulting where I managed claim reviews, developed appeal strategies, and communicated with providers and patients.

I have served as a charge nurse and team lead at COVID-19 facilities, supervising staff, coordinating admissions and transfers, and mentoring new personnel while ensuring compliance with protocols and documentation standards.

I hold a BS Nursing, am a Philippine-licensed RN, NIHSS-certified, and trained in BLS, IV therapy and multiple clinical and psychiatric nursing seminars—skills I apply to improve patient outcomes and operational processes.

Experience

Work history, roles, and key accomplishments

Nurse Appeal Consultant

EXL Service Philippines, Inc.

Apr 2023 - Jun 2025 (2 years 2 months)

Managed and processed healthcare claims and appeals, developing appeal strategies that improved resolution accuracy and maintained HIPAA-compliant documentation. Analyzed data in Excel, communicated with providers, and trained junior staff to meet team KPIs.

Appeals MS Excel Healthcare Compliance HIPAA)Clinical Documentation Reporting HIPAA

Nurse 1

National Center for Mental Health

Dec 2018 - Jan 2022 (3 years 1 month)

Provided nursing care across neurology, medical/surgical, COVID-19, and psychiatric wards; acted as charge nurse for COVID-19 facility team, supervising staff and coordinating admissions, discharges, and clinical documentation. Performed assessments, IV therapy, wound care, and emergency interventions.

IV Therapy Wound Care Clinical Assessment Charge Nurse And COVID 19 Care Clinical Documentation Patient Education

Reliever Company Nurse

Maxicare (HMO Accounts)

Sep 2016 - Sep 2018 (2 years)

Provided occupational and onsite nursing services for multiple corporate clients, delivering first-aid, initial assessments, emergency coordination, and OTC dispensing while liaising with retainer physicians and arranging referrals.

Occupational Health Triage)Emergency Coordination Referral Management

Customer Care Nurse

Maybank Philippines Inc.

Dec 2016 - Nov 2017 (11 months)

Facilitated outpatient availments and claims processing for members, handled customer queries via phone and walk-ins, coordinated with CAS supervisors, and prepared utilization and incident reports to meet KRA targets.

Patient Support Claims Processing Customer Service Reporting Quality Assurance

Diagnostic Nurse

Mega Clinic (LASIK Clinic)

Jul 2016 - Nov 2016 (4 months)

Conducted preoperative assessments and vision acuity testing for ophthalmology patients, assisted optometrists and ophthalmologists during refraction and procedures, and documented findings in medical records.

Medical Documentation Patient Education Clinical Support

Registered Nurse Resident

Armed Forces of the Philippines Medical Center

Aug 2015 - Feb 2016 (6 months)

Staffed oncology ward performing complete patient assessments, medication administration (oral, IV, insulin), care planning, and assisting physicians with procedures while documenting clinical observations and patient responses.

Oncology Nursing Documentation

Private Duty Nurse

Private Household

Dec 2013 - May 2014 (5 months)

Provided private-duty care for a comatose patient with tracheotomy and PEG, managing vital signs, wound care for stage III pressure injuries, medication administration, and ensuring patient comfort and safety.

Pressure Ulcer Care Vital Signs Patient Safety