Insurance Verification and Prior Authorization Specialist/Medical Admin Assistant

Coordinating with medical staff in providers’ offices for any urgent needs regarding document requests Coordinating with patients for any immediate needs concerning orders for medical supplies.

I have quite a bit of experience as a virtual assistant, where I’ve had the opportunity to support a variety of industries, with a particular focus on healthcare and billing and collections at a law firm. I started my healthcare career back in 2022 when I was hired by Healthy Bos LLC and was offered the role of a Prior authorization specialist for Durable Medical Equipment DME and later on for Urology. My core responsibilities include: • Processing pre-authorization requests and requirements as mandated by the insurance • Coordinating with medical staff and doctors' offices to obtain insurance-mandated clinical documents • Verifying insurance benefits and eligibility - processing appeal requests and reconsiderations, • Coordinating with patients for any immediate needs concerning orders for medical supplies and insurance confirmation Although our primary role eventually transitioned to handling prior authorization tasks for DME, We initially started as an appointment setter for the same office. During that first month or two, I gained valuable experience in scheduling and patient coordination. While my direct experience as an appointment setter was for a short time before I transitioned to prior authorization tasks, I’m confident in my ability to handle appointment scheduling efficiently. I also bring over 4 years of experience as a call center agent, including my time with CollegeBoard, where I handled very similar tasks. I regularly assisted students in registering for tests for SAT, rescheduling, and even canceling their registrations. That role required attention to detail, clear communication, and managing sensitive timelines—skills that directly apply to appointment setting. So even though my title wasn’t 'appointment setter' for most of my career, the responsibilities were essentially the same, and I’m very comfortable performing that kind of task In my role as a Civil Coordinator at a law firm, I managed a variety of administrative tasks related to billing and collections. That included drafting and sending demand letters to clients, assisting attorneys in organizing case files, contacting customers over the phone or through email to collect payments, generating revenue reports, and applying invoices to our system. In addition, I have over 7 years of experience in contact centers, having worked across various campaigns in the industry. My experience includes working in Telco, Billing and Collections, Retail, Technical Support, and Education. In these roles, I have handled a range of tasks such as collecting payments, setting up payment arrangements, troubleshooting, assisting customers with refunds, and redelivery concerns, as well as managing appointments for rescheduling or cancellations. I have also worked in the education sector, assisting with SAT exam registrations, rescheduling, and sending scores out to colleges and universities. we were also introduced to various healthcare areas like medical scribing, dental health, mental health claims processing, and processing treatment estimates