Raquel Dela Cruz Caballero RN,CPC

Block **-** Somerset 14 Lancaster new city General Trias Cavite

adjx03@r.postjobfree.com

+639*********

Objective

To work in any organization or any firm where my interest and background can be effectively used.

Professional Summary

Highly skilled career professional with more than 10 years practical experience in hospital clinic and primary care environment

Established experience in Medical and Surgical, Oncology Ward & Clinical settings

Computer skilled

Managing heavy daily patient volume including charting, rendering medications, scheduling and patient’s referral.

Proficient in all documentation/record/charting and paper work to ensure accuracy and patient confidentiality.

PROFESSIONAL EXPERIENCE

ALORICA PHILIPPINES (February To September 2019) Medical Coder ICD 9 ICD 10 /Medical reviewer /Company nurse

MOUNT ELIZABETH HOSPITAL SINGAPORE(ORCHARD)

Staff Nurse (August 4,2014 to December 5,2018)

Oncology & Transplant Ward.

MW MEDICAL CENTRE (MARINA BAY SANDS SINGAPORE)

Clinic nurse (August 28,2012 to June 2014)

PANTAI HOSPITAL KUALA LUMPUR (MALAYSIA)

nurse (January 25,2008 to July 25,2012)

Medical and surgical ward/Oncology ward

INTELLICARE CLINIC MAKATI CITY (PHILLIPINES)

. Clinic nurse (January 12,2007 to January 2008)

JOB DESCRIPTION (HEALTHCARE /MEDICAL CODER /COMPANY NURSE

Obtaining referrals and pre-authorizations as required for procedures.

Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.

Reviewing patient bills for accuracy and completeness, and obtaining any missing information.

Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

Following up on unpaid claims within standard billing cycle timeframe.

Checking each insurance payment for accuracy and compliance with contract discount.

Calling insurance companies regarding any discrepancy in payments if necessary

Identifying and billing secondary or tertiary insurances.

Reviewing accounts for insurance of patient follow-up.

Researching and appealing denied claims.

Answering all patient or insurance telephone inquiries pertaining to assigned accounts.

Setting up patient payment plans and work collection accounts.

Updating billing software with rate changes.

Updating cash spreadsheets, and running collection report COMPANY NURSE JOB DESCRIPTION:

Served as first aider to injured workers

Assessed job hazards and incorporated health promotion strategies to minimize accidents

Provided health teaching to workers to ensure safety standards are met

Scheduled employees' Annual Physical Examination with our HMO (Health Maintenance Organization) provider.

Administered First-Aid and CPR

Monitored employees health status

Managed and tracked inventories of medicines and supplies

Assessed employees health condition and referred to hospital

Facilitated employees health benefits and endorsed to Human Resources for processing

Assisted employees during hospitalization and monitored the progress of health condition

Escorted the repatriated employee back to the Philippines due to health reason JOB DESCRIPTION: (Nurse)

Render intensive nursing care to patient according to their individual needs

Rendering /Ensure Patient daily needs (assist from bathing/Oral care/ patients turning/wound care

Rendering on time medications via oral, iv medications and other stat order medications

Assist the physician or consultants in diagnostics procedures,therapeutic and palliative measures.

To ensure proper documentation and charting

Provided assistance to any minor surgery

Performed CPR

Responsible for the recording and reporting values of laboratory result

Responsible for the analyzing calculating and recording the intake and output of the patient

Maintain a therapeutic environment for the patient safety against fall, burns and otherharming incidence

Worked with health care team for the provision of development of appropriate care to the patient

Managed patients in a critical condition with a 35bed ward capacity JOB DESCRIPTION (Clinic Nurse)

Provide leadership and guidance

Ensure that staff is properly trained

Address any personnel issues to promote a productive and supportive work environment

Monitor patient care quality

Apply evidence based healthcare practices and nursing standard

Review patient staff data to measure the effectiveness of patient care

Collaborate with the Doctors to know their concern and issues

Orienting and trained the new staff to achieved the quality care that patient needs CREDENTIALS

AAPC Medical Coder Certified

Basic cardiac Life support

CPR and AED Certified

EDUCATIONAL BACKGROUND

Emilio Aguinaldo college

Taft avenue Manila

Bachelor of Science in Nursing (1999-2003)

De Ocampo Memorial College

Santa Mesa Manila

Secondary (1995-1999)

Pio del Pilar Elementary School

Santa Mesa Manila

Primary(1989-1995)

.

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