Ralph Nathan Jimenea
BSN, RN, USRN
178A Don Esteban Lapuz ,ILOILO
Summary
A professional with good interpersonal skills; competent in knowledge , skills and attitude. Skilled in coaching and mentoring, with a keen focus on quality control and performance monitoring. Computer literate and multi-tasking, significantly improving operational efficiency and decision-making processes.
Overview
16
16
years of professional experience
Work History
Team Lead - Clinical
Crawford and Company Logistics, Inc.
10.2020 - Current
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
- Coached team members in techniques necessary to complete job tasks.
Billing Analyst
Crawford and Company Logistics , Inc
01.2018 - 10.2020
- Review bills from providers and follow rules per state guidelines.
- Analyzed scenarios and request from adjusters and provider if bills is/are for payment or it will be denied.
- Maintained strict confidentiality with all personal data as per company guidelines.
Medical Biller | SME
Worldsource - Philippines
01.2015 - 12.2017
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Call insurance s for claim status and payment status.
Campaign Coach
Avatar Technologies
06.2013 - 01.2015
- Enhanced team performance by developing and implementing effective coaching strategies.
- Collaborated with other coaches to share best practices, techniques, and insights for overall program improvement.
Teacher | School Nurse
St. Roberts International Academy
06.2010 - 03.2013
- Developed strong relationships with students, parents, and colleagues by maintaining open lines of communication and fostering a supportive learning environment.
- Managed classroom behavior effectively by establishing clear expectations, modeling appropriate conduct, and consistently enforcing established rules and consequences.
- Enhanced classroom engagement through the use of interactive teaching methods, such as group projects and hands-on activities.
- Maintained accurate records of student progress, attendance, and behavior to facilitate ongoing communication with parents about their child''s educational journey.
Staff Nurse
Saviour International Hospital
04.2009 - 12.2010
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Assisted physicians with diagnostic procedures, ensuring accurate results for optimal treatment planning.
Education
Bachelor of Science - Nursing
University of Iloilo
Rizal St. Iloilo City 04.2001 -
High School Diploma -
Zarraga National High School
Jalaud Norte, Zarraga Iloilo 04.2001 -
Skills
Computer Literate
Character Reference
1. Minerva Irene Reyes
Transition Manager, Crawford and Company Logistics, Inc.
2. Fern Angelo Cabaron
Team Manager II, Crawford and Company
Timeline
Team Lead - Clinical
Crawford and Company Logistics, Inc.
10.2020 - Current
Billing Analyst
Crawford and Company Logistics , Inc
01.2018 - 10.2020
Medical Biller | SME
Worldsource - Philippines
01.2015 - 12.2017
Campaign Coach
Avatar Technologies
06.2013 - 01.2015
Teacher | School Nurse
St. Roberts International Academy
06.2010 - 03.2013
Staff Nurse
Saviour International Hospital
04.2009 - 12.2010
Bachelor of Science - Nursing
University of Iloilo
04.2001 -
High School Diploma -
Zarraga National High School
04.2001 -
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