Medical Virtual Assistant

I handled both claims and benefits for 4 years and 3 months. I know how to process prior authorization, checking claims status, checking coverage and benefits, insurance verifications, appointment setting.

Experienced in handling prior authorizations for medications, procedures, and medical equipment. Responsible for gathering clinical information, submitting PA requests to insurance providers, following up on approvals/denials, and coordinating with physicians and pharmacies to ensure timely patient care.

Insurance Verification Skilled in verifying patient insurance coverage, eligibility, and benefits for medical services, prescriptions, and equipment. Experienced in contacting insurance providers, confirming co-pays, deductibles, and pre-authorizations, and accurately documenting coverage details in EMR systems.

I've been in a BPO as customer service representative and got promoted as subjec matter expert for 4 years and 3 months. Which I manage both inbound and outbound calls

Experienced in submitting, tracking, and following up on insurance claims for medical services and prescription. Skilled in identifying claim errors, managing denials and appeals, and ensuring accurate reimbursement by coordinating with insurance providers and billing departments.

Proficient in scheduling, rescheduling, and confirming patient appointments across multiple providers and specialties. Experienced in using EMR/EHR systems to manage calendars, coordinate telehealth visits, send reminders, and minimize no-shows through effective communication and follow-ups.

As an IT we are required to have a good typing skill. My first job was Data Entry in Sunlife insurance where we input all the records and information of our clients.

Knowledgeable in preparing and submitting accurate medical bills for services rendered, including CPT and ICD-10 coding. Experienced in handling patient invoices, posting payments, reconciling accounts, and coordinating with insurance providers to ensure timely reimbursement and claim resolution.