Remote jobs related to medical billing.
RGOpen to opportunities
Renell Grace
@renellgrace
Registered Nurse
PhilippinesWhat I'm looking for
Registered Nurse licensed in the Philippines and US
Experience
Work history, roles, and key accomplishments
CC
Current
Clinical Program Nurse 2
Crawford and Company
Oct 2019 - Present (6 years 3 months)
Clinical Program Nurse directly working with healthcare providers in medical billing. Analyzes and reviews claims.
CCCurrent
Clinical Program Nurse
Crawford and Company
Jan 2019 - Present (7 years)
Reviewed and analyzed medical records to determine medical necessity and appropriateness of requested treatments, ensuring timely, compliant utilization review and case resolution. Collaborated with physicians and interdisciplinary teams to escalate complex cases and communicated findings to stakeholders while maintaining HIPAA and SOP compliance.
TE
Customer Service Representative
Teletech
Oct 2014 - Sep 2019 (4 years 11 months)
Customer service representative for a telco company in the US.
Education
Degrees, certifications, and relevant coursework
UAUniversity of San Agustin
Bachelor of Science in Nursing, Nursing
Completed a Bachelor of Science in Nursing, covering clinical and theoretical nursing competencies for professional registration.
CJ
Colegio del Sagrado Corazon de Jesus
High School Diploma, Secondary Education
2003 - 2007
Completed secondary education prior to tertiary studies.
Tech stack
Software and tools used professionally
Availability
Open to opportunities
Location
PhilippinesAuthorized to work in
United StatesSalary expectations
40k-60k USD
Job categories
OperationsOperationsHealthcareClinical NurseUtilization Review NurseCase ManagerTelehealth NursingPatient Intake SpecialistNursing Education InstructorOccupational Health SpecialistRegistered Nurse (RN)Registered Nurse (Non Mgmt)Senior Registered NurseNursePediatric Registered NurseNight Shift Registered NurseRemote Registered NurseRegistered Nursing: Case Managers
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