I’m a dual-licensed Registered Nurse (USRN & PhRN) with professional experience in remote clinical claims review, medical billing, and patient support. I previously worked at Optum, where I reviewed insurance claims for medical necessity, policy compliance, and fraud detection based on MCG/InterQual guidelines.
With a background in hospital nursing in the Philippines and elderly care in the UK, I bring a patient-centered mindset to every task — whether reviewing claims, managing EHRs, or supporting healthcare providers virtually.
I’m highly skilled in:
> Clinical Claims Review
>Utilization Review (MCG/InterQual)
>Medical Billing & Coding
>HIPAA-Compliant Communication
> EHR platforms
>Administrative Support & Email Management
I’m reliable, detail-oriented, and always committed to improving patient outcomes — even from behind the screen.
>>> Looking for long-term, remote opportunities in:
Clinical Claims Review
Medical Billing
Virtual RN / Medical VA roles
Let’s work together to deliver healthcare that’s accurate, efficient, and compassionate.
