Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

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
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, Philippines
04.2007

Skills

  • Critical Thinking
  • Patient Care
  • Communication
  • Teamwork
  • Organization and Time Management
  • Cultural Competence

Certification

Registered Nurse

Basic Life Support Certification

References

Jocelyn Molo, DrPH, MAN

UERMMMC College of Nursing


Belinda Capistrano, MAN, RN

UERMMMC College of Nursing 


Norma Nastor, MAN, RN 

UERMMMC College of Nursing

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

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Rachel Sales