Medical Virtual Assistant

I started as a Customer Service Representative in a BPO company and handled a U.S. healthcare account specifically Behavioral Health insurance. As Customer Service Representatives, we are answering and taking in calls from the providers or provider representatives. Helped them in checking in eligibility, benefits, and claims. Providing the best resolution to the provider regarding their denied claims. I became a Customer Service Representative for 4 years. Then, I was a Team Leader for 2 years, also for a U.S. healthcare account. I handled a group of people, coaching agents for the areas that need to improve, and provides real-time feedback on their QA scores and surveys scores, and providing them techniques on how to meet the target for individuals and as a team. Talking in supervisor calls whenever there's no resolution team available, provides resolutions and action regarding their claims. Then, I became a Revenue Cycle Associate or Medical Biller for 2 years. My task as a Medical Biller is calling in insurance to follow up on claims which were not yet been paid for more than 30 days, checking eligibility, filing an appeal, and submitting and resubmitting claims when needed. I also became a Denial Management Associate for just 6 months, we were assigned to COVID-19 claims, submitting appeals and MR to the insurance portal and through fax and submitting and resubmitting claims. The tools that we used in my previous jobs are, Health Fusion/ NextGen, Advanced MD, Labgen and Medgen, and 8x8 work, and we also use SharePoint in updating our claim notes.