USRN l PhRN l Clinical Claims Reviewer | Health Coach

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.