Medical Virtual & Executive Assistant | Data entry | Admin

• 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

In my role as a Medical Virtual Assistant, Intake Specialist, and Staffing Coordinator, I gained extensive experience in managing healthcare administrative operations. I handled patient communication, processed new client intakes, verified insurance eligibility and benefits, and ensured all documentation followed HIPAA standards. I regularly updated CRM records, organized patient files, and maintained accurate provider notes and medical documentation. I also coordinated appointments, resolved scheduling concerns, and supported revenue cycle tasks such as payment verification and processing. Through daily interaction with patients, caregivers, providers, and case managers, I helped streamline operations and ensure a smooth and professional experience for both clients and the care team.

Throughout my roles in customer service, from TelePhilippines and Expedia to healthcare advocacy and cold calling, I consistently demonstrated strong communication skills and the ability to handle diverse inquiries. I managed both inbound and outbound calls, resolved complex issues, researched solutions, and provided clear guidance to customers while maintaining professionalism and strong phone etiquette. I also handled inquiries related to insurance benefits, healthcare claims, billing concerns, and travel reservations, ensuring accurate information and a positive service experience. In addition to phone support, I drafted professional emails, maintained organized communication records, and worked closely with internal teams, providers, and patients. My performance remained consistently high, meeting and exceeding KPIs across multiple industries.

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

In my experience as a Workforce Management Analyst, I was responsible for real-time monitoring, scheduling, forecasting, and generating KPI reports to support day-to-day operations. I analyzed performance data to guide staffing decisions, assessed service level risks, and provided actionable insights to leadership. I created customized Excel templates and dashboards from scratch to improve reporting accuracy and visibility. I also troubleshot system-related issues, performed root-cause analysis on performance gaps, and coordinated with internal teams to ensure smooth workforce operations. My background in Civil Engineering strengthened my analytical and mathematical skills, enabling me to manage complex datasets, optimize staffing plans, and maintain operational efficiency across multiple teams.