Virtual Assistant |Medical |Scheduling

• Assist providers in verifying member’s cost share with their registered health insurance • Provide providers assistance in regards to getting their submitted medical claims reprocessed or assistance in providing reasons as to why their medical claim got denied • Answering inquiries in Availity Messaging Tool about their medical claims • Investigate the reason for denial using tools and resources with Guide well learning • Provide providers with information in regard to the member’s explanation of benefits • Generate a letter to be sent to the provider’s address in the claim • Properly document inquiry using SR Template to make sure quality service was provided

Create Excel templates from Scratch for reports and visualization. Used most formulas Vlookup, Hlookup, Conditional formatting, Pivot Macro and VBA, Data Scrapping, data visualization, and data analysis.

Entering all the data into different computer databases. In addition, I manage and maintain effective record keeping, organizing files to collect information for future use.

I've been a travel agent, Hotel specialist, and medical specialist within my 6 years in the business process outsourcing industry.

• Assist providers in verifying member’s cost share with their registered health insurance • Provide providers assistance in regards to getting their submitted medical claims reprocessed or assistance in providing reasons as to why their medical claim got denied • Answering inquiries in Availity Messaging Tool about their medical claims • Investigate the reason for denial using tools and resources with Guide well learning • Provide providers with information in regard to the member’s explanation of benefits • Generate a letter to be sent to the provider’s address in the claim • Properly document inquiry using SR Template to make sure quality service was provided

As a workforce analyst, I create Excel templates from Scratch for reports and visualization. Analyze data from spreadsheets and use data for visualization and presentation.

Email Management Manage Calendar Schedule meetings answering and screening calls Maintaining databases and filling systems Data entry