Maria Elena R.Buenaventura, RN
Medical Underwriter, Utilization Review Nurse
E-mail:-Skype: mariaEbuenaventura
Career Objective: To offer my services as a medical underwriter and utilize my skills and expertise, all the while broadening my experience in this field and helping my client to grow as well.
Summary of Professional Qualifications:
Admirable experience in managing medical underwriting services
Exceptional knowledge of life and disability underwriting services
Solid understanding of rules and regulations in health care industry
Proficient with basic computer applications such as MS-Office and Excel
Familiarity with practices and procedures of insurance industry
Remarkable ability to read and understand medical conditions and reports
Outstanding ability to deal with reinsurers and other underwriters
Remarkable ability to prepare accurately statistical findings and reports
Professional Accomplishments:
Medical Underwriter, Disability and Medical necessity cases, June 2016-present
Accolade Consultants, Remote staff- Douglasville, GA
Medical Underwriter, Medical necessity cases, December 2011 - June 2016
ReportPrep- Remote staff- Murphy, TX
Developed standardized procedures to improve efficiency and timing.
Evaluate medical records and reports for risk assessment.
Coordinated with medical providers to discuss health information needs.
Supported underwriting and administration teams with necessary information.
Prepared tools and reports to manage daily departmental activities.
Conducted training sessions for external and internal customers.
In charge of quality assurance of report cases.
Staff Nurse, specialty department (OR, ER, DR, NICU), August 2007- September 2011
Antipolo Doctors Hospital, Antipolo City, Philippines
In charge of patient triage.
Performed emergency procedures accordingly.
Advise patients regarding treatment or procedures.
Performed health teaching to both patients and relatives.
Educational Background:
Bachelor's Degree in Nursing, 2007
World Citi Colleges, Antipolo City
Personal information;
Date of birth: May 16, 1984
Age: 32 years old
Gender: Female
Status: Single
Address: 112 Tapales Street, Barangay Dalig, Antipolo City, Rizal, Philippines 1870
Tel#: -
References:
Maria Marquez
Senior Medical Billing Coordinator at Gastroenterology Consultants SW-
Maria Larican, PT, MT
Lab Technologist / Transfusion Services SKL Lab Bloodworks NW -
Sandy Smice, CNA
Team Leader, ReportPrep-
Carla Pedragoza, PT
Supervisor, ReportPrep-