Rachel Sales
Santa Clara,CA
Summary
A highly motivated, steadfast, adaptable, and passionate entry-level nurse with a strong work ethic and discipline committed to professional nurturing and intensive training.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Insurance Coordinator
Belhoul European Hospital
Dubai, UAE.
07.2015 - 02.2021
- Verified insurance and communicated coverage to staff and patients.
- Collated records for annual claims reconciliation and settlement.
- Obtained prior authorization and precertification for outpatient procedures.
- Updated stakeholders on claims adjudication protocols and medical coding guidelines.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement
Claims Processor/Adjudicator
Belhoul European Hospital
11.2012 - 06.2015
- Reviewed accuracy and completeness of claim forms and related documents for billing purposes.
- Generated, posted, and attached information to claim files.
- Prepared insurance claims for submission to insurance companies.
- Assured timely verification of insurance benefits before patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology and coding guidelines.
Radiology Clerk
Belhoul European Hospital
09.2014 - 01.2015
- Transcribed radiologic results (MRI, Ultrasound, and X-ray) and encoded in the hospital's electronic records.
- Educated patients on procedure details, provided instructions, and answered questions to minimize anxiety and improve cooperation.
Healthcare Technician/Outpatient Clerk
Belhoul European Hospital
05.2009 - 10.2012
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Managed office logistics by scheduling appointments, maintaining files, and collecting payments.
- Placed new supply orders, managed inventory, and restocked clerical spaces.
- Organized and maintained patients' chart filing system to promote quick data finding for staff.
- Maintained hygiene and cleanliness of the assigned clinic.
Education
Bachelor of Science - Nursing
University of The East Ramon Magsaysay Memorial Medical Center
Quezon City, Philippines04.2007
Skills
- Critical Thinking
- Patient Care
- Communication
- Teamwork
- Organization and Time Management
- Cultural Competence
Certification
Registered Nurse
Basic Life Support Certification
Timeline
Insurance Coordinator
Belhoul European Hospital
07.2015 - 02.2021
Radiology Clerk
Belhoul European Hospital
09.2014 - 01.2015
Claims Processor/Adjudicator
Belhoul European Hospital
11.2012 - 06.2015
Healthcare Technician/Outpatient Clerk
Belhoul European Hospital
05.2009 - 10.2012
Bachelor of Science - Nursing
University of The East Ramon Magsaysay Memorial Medical Center