Hi! I’m Irene, a licensed nurse with 7 years of clinical experience and 2 years in corporate BPO/CPO settings as a Utilization Review Nurse. I specialize in prior authorization, insurance verification, and claims review, ensuring that medical documentation aligns with payer guidelines and regulatory standards.I’ve worked with platforms like Citrix, Isaac, CDP, and Wipro EMR, handling sensitive patient data with full HIPAA compliance. My background allows me to interpret clinical records accurately, assess medical necessity, and support fast, compliant decision-making.
What I can help you with:
*Utilization review and prior authorization
*Insurance verification and claims processing
*Credentialing and provider documentation
*Clinical data input and analysis
*Administrative support for healthcare operations
I’m detail-oriented, reliable, and committed to helping healthcare teams stay organized, compliant, and efficient.
Verified
