Proactive and highly adaptable Virtual Assistant with proven experience in customer service, administrative support, and healthcare account management. Skilled in handling communications, scheduling, data entry, and client relations with efficiency and professionalism. Proficient in Microsoft Office, Google Workspace, Salesforce systems, and productivity tools such as Notion. Recognized for strong organizational skills, attention to detail, and the ability to thrive in fast-paced, remote work environments while delivering high-quality results. Highly trainable and self-motivated, with a strong ability to quickly learn and adapt to new skills, tools, and technologies.
Experience: 6 months - 1 year
Experience: Less than 6 months
Experience: 1 - 2 years
Experience: 1 - 2 years
As an Inpatient Specialist, I screen, evaluate, and process LOA availments in accordance with standard procedures and benefit guidelines. I monitor daily running bills, assess coverage, issue Letters of Authority (LOAs), and professionally explain coverage and non-coverage details to members. When necessary, I secure approvals for LOAs beyond authority limits and ensure compliance with MedicalAvailment Guidelines (MAG). I monitor member confinements, respond to inquiries, and provide first-hand resolutions to customer concerns while escalating unresolved issues to the appropriate departments. Additionally, I process and submit claims for approval, ensuring all documentation is properly filed and uploaded. I report all system-related matters to expedite processing. Furthermore, I assist in securing Certificates of Availment to provide seamless healthcare service for members.
Experience: Less than 6 months
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