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Ma S. — Mid-Level Medical Claims Nurse Reviewer from Philippines

Ma S.

Mid-Level Medical Claims Nurse Reviewer

Philippines 1-2 years
Open to offersNew to Platform
Languages
EnglishTagalogHiligaynon
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About

Ma. Succour N. C. is a highly dedicated Registered Nurse based in Iloilo City, Philippines, with a strong background in healthcare customer service and medical record analysis. Currently serving as a Nurse Reviewer at Shearwater Health Inc., she excels in claim summarization, effectively reviewing and analyzing comprehensive medical records to support insurance claims and utilization reviews. Her expertise includes extracting critical clinical data and ensuring HIPAA compliance. Her previous experience as a Customer Service Representative in a healthcare voice account at Teleperformance involved managing appointment scheduling and patient coordination, with a focus on maintaining high standards of accuracy and quality. Ma. Succour has also contributed as an online tutor, showcasing her ability to provide organized and effective virtual learning support. Her early nursing career was enriched by volunteering experiences at Hartman Dialysis Center and Iloilo Doctors Hospital, where she provided essential patient care and education in dialysis settings. She is proficient with tools like Epic and Genesys, and holds a Bachelor of Science in Nursing from the University of San Agustin. With her well-rounded skillset, Ma. Succour is recognized for her strong attention to detail and professional communication capabilities.

Experience

  • Nurse Reviewer

    Shearwater Health Inc. · 2025 — Present
    Reviewed comprehensive medical records, including EMRs, hospital notes, and operative reports. Analyzed clinical information for insurance claims, appeals, and utilization review. Extracted essential data such as diagnoses and procedures, while ensuring HIPAA compliance and data privacy.
  • Customer Service Representative

    Teleperformance · 2024 — 2025
    Handled appointment scheduling and patient triage coordination with healthcare facilities. Conducted clinical documentation reviews utilizing Epic and Genesys platforms, while maintaining compliance with HIPAA regulations.
  • Online Tutor

    Online Learning Platforms · 2019 — 2024
    Provided personalized academic support and structured virtual learning experiences. Demonstrated effective communication and organization in a remote work setting.
  • Dialysis Nurse Volunteer

    Hartman Dialysis Center · 2018 — 2018
    Cared for patients receiving hemodialysis treatment by assessing their condition and monitoring vital signs. Educated patients on self-care and health management related to dialysis.
  • Nurse Volunteer

    Iloilo Doctors Hospital · 2015 — 2015
    Supported healthcare teams in delivering patient care and monitored vital signs. Assisted in medication administration and provided emotional support to patients.
  • Nurse Volunteer

    AMOSUP Seamen’s Hospital · 2013 — 2013
    Delivered bedside nursing care, including patient monitoring and medication administration. Assisted with various treatments and procedures under supervision.

Skills & Expertise

Education

  • Bachelor of Science in Nursing
    University of San Agustin · — — 2012

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