Renell G.
Mid-Level Medical Records Reviewer
Open to offersNew to PlatformAbout
Renell Grace G. is a Registered Nurse with experience spanning healthcare, clinical program management, customer service, and English language education. Having earned a Bachelor of Science in Nursing from the University of San Agustin and holding licenses in both the Philippines and New York, Renell Grace G. has applied her expertise in medical and claims review at Medical Tattooing Billing Services, where she improved documentation accuracy and streamlined workflow processes. As a Clinical Program Nurse with Crawford & Company, she conducted detailed utilization reviews, managed interdisciplinary collaboration, and enforced policy compliance within the insurance and healthcare sectors. Her background also includes multi-channel customer service at Teletech, supporting billing and account management, and early-career nursing at Buenavista Emergency Hospital. Supplementing her credentials is a TEFL certification, with experience teaching English to diverse learners in the education domain. Proficient in EMR/EHR systems and medical billing & coding (ICD-10/ICD-11), she demonstrates a consistent record of accuracy and process improvement.
Experience
Medical Records Reviewer
Medical Tattooing Billing Services · 2026 — PresentEnsured compliance in medical record audits, which consistently reduced documentation errors. Improved billing accuracy by identifying and correcting inconsistencies. Streamlined review workflows to enhance efficiency and turnaround times.Clinical Program Nurse
Crawford & Company · 2019 — 2026Conducted utilization reviews with a focus on accuracy in medical necessity determinations. Worked collaboratively with interdisciplinary teams to resolve cases within specified timelines. Enhanced departmental compliance through strict adherence to SOPs and policies, applying evidence-based guidelines to minimize case escalations.Customer Service Representative
Teletech · 2014 — 2019Delivered professional support through phone, email, and chat channels, maintaining high satisfaction ratings. Retained customers by proactively resolving billing concerns and providing effective solutions. Mentored new staff to improve team productivity and facilitate efficient onboarding. Enhanced customer experience by streamlining inquiry resolution processes.ESL Teacher
Box English · 2013 — 2013Instructed English lessons aimed at enhancing student proficiency and confidence. Developed interactive lessons to boost engagement and retention. Supplied personalized feedback to strengthen students' communication skills. Adapted teaching approaches to the needs of diverse learners, receiving positive evaluations.Staff Nurse
Buenavista Emergency Hospital · 2012 — 2012Provided safe and compassionate care while following hospital protocols. Assisted in surgeries and deliveries, facilitating smooth recovery outcomes. Educated patients and their families to foster treatment adherence. Coordinated care with interdisciplinary teams to help reduce readmissions.
Skills & Expertise
Education
- Bachelor of Science in NursingUniversity of San Agustin · 2007 — 2011
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