Clark

Medical VA |Expert in Insurance Verification | Data Entry

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Overview

Looking for full-time work (8 hours/day)

at $4.23/hour ($818.18/month)

Bachelors degree

Last Active

July 10th, 2026 (6 days ago)

Member Since

March 26th, 2023

Profile Description

I have 2 years of experience in the US healthcare industry, specializing in eligibility and benefits verification, resolving claim and appeals issues, and prior-authorization and referral follow-ups.

Services I Offer

1. Insurance Verification: Confir ---------- mber eligibility, benefits, copays, and deductibles.

2. Claims Support: Resolve denied claims by identifying and fixing discrepancies.Track and update appeal statuses for timely resolutions.

3. Inventory Management: Handle reprocessing of incorrect claims and maintain accurate records

4. Communication :Fax letters to members and providers, as well as timely updates. Clearly explain claim statuses, appeals, and benefits to members.

5. Prior authorization, I coordinate with different internal departments to follow up on authorizations and referrals. 

Tools & Systems Expertise*CRM & Platform: CITRIX, ASPEN, LIVE ENGAGE, DOFR, AVAILITY, FOBS, MARS, MEMBER 360, MAINFRAME, CONCORD, NEXGEN
*Office Tools: Outlook, Teams, Gmail, Yahoo, Google Suite, Microsoft, Spreadsheet
*Creative Tools: Canva, Wix, WordPress
Let's Work Together. I’m dedicated to optimizing your healthcare processes, enhancing communication, and delivering impactful results tailored to your needs.

Top Skills

Experience: 1 - 2 years

Experience: 1 - 2 years

Experience: 1 - 2 years

Other Skills

Basic Information

Age
28
Gender
Male
Website
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Address
Caloocan City, Metro Manila
Tests Taken
DISC
Dominance: 42%
Influence: 15%
Steadiness: 19%
Compliance: 24%
English
C1(Advanced)
Government ID
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