Virtual Assistant | Executive Assistant | Healthcare Administrative Assistant |

Eligibility and Benefits Verification: Contacting insurance companies via phone and portals (e.g., Availity, Navinet) to verify patient coverage, policy details, and benefit limitations for medical services, procedures, and medications. Insurance Verification: Confirming plan types (HMO, PPO, Medicare, Medicaid), co-pays, deductibles, out-of-pocket maximums, and pre-authorization requirements. Prior Authorization: Preparing and submitting prior auth requests for medications, diagnostic tests, surgeries, and DME. I ensure all documentation is complete and follow up regularly to secure approvals. Denials and Appeals: Investigating denied or underpaid claims, drafting appeal letters, and communicating with payers to ensure claims are reprocessed or overturned when justified. Insurance Follow-Up: Proactively contacting payers for claim updates, verifying payment timelines, and initiating reprocessing or adjustments as needed. Throughout my career, I’ve demonstrated a deep understanding of U.S. insurance guidelines, payer policies, and RCM (Revenue Cycle Management). I’m highly detail-oriented, dependable, and skilled at navigating complex insurance scenarios to ensure both provider reimbursement and patient satisfaction.

With over 7 years of experience in the U.S. healthcare industry, I’ve held leadership roles where I managed and mentored remote teams supporting medical billing, insurance verification, prior authorizations, claims processing, and appeals. As a Team Leader for a U.S.-based healthcare account, I was responsible for ensuring operational efficiency, team performance, and compliance with industry standards, including HIPAA regulations. My leadership responsibilities included: Supervising Day-to-Day Operations: Managing a team of billing specialists, authorization coordinators, and claims processors to ensure timely and accurate task completion. Training & Mentoring: Onboarding new hires, creating SOPs (Standard Operating Procedures), and conducting regular training sessions to maintain high accuracy and productivity standards. Performance Monitoring: Setting KPIs, tracking team metrics, and providing regular feedback and coaching to improve individual and team performance. Workflow Optimization: Identifying process gaps and implementing improvements to streamline prior auth, claims, and verification workflows—leading to faster turnaround times and reduced claim denials. Conflict Resolution & Support: Acting as the escalation point for complex billing or insurance issues and ensuring client satisfaction by resolving concerns promptly and professionally. Cross-Functional Collaboration: Coordinating with U.S.-based providers, billers, and administrative staff to align on goals and ensure smooth communication across teams. I lead with a proactive, solution-focused mindset and promote a culture of accountability, excellence, and continuous improvement. My leadership has consistently resulted in improved team productivity, reduced errors, and stronger client relationships.

Experienced Executive Assistant with 7+ years in healthcare administration, providing high-level support to executives, healthcare leaders, and clinic directors. Currently supporting the CEO and coordinating operations across 17 clinic locations in the United States. Skilled in calendar and meeting management, executive communication, travel coordination, report preparation, and handling confidential correspondence. Adept at streamlining daily operations, prioritizing tasks in fast-paced environments, and ensuring clear communication between leadership, clinical teams, and external stakeholders. Experienced with healthcare administrative workflows including insurance verification, prior authorization coordination, and revenue cycle support. Proficient in EMR systems such as CareCloud, WoundExpert, TherapyNotes, Athenahealth, and insurance platforms like Availity, while maintaining strict HIPAA compliance.

Experienced Administrative Professional with 7+ years supporting healthcare executives and multi-clinic operations. Skilled in calendar management, meeting coordination, executive communication, and streamlining daily operations. Proficient with EMR systems (CareCloud, WoundExpert, TherapyNotes, Athenahealth) and insurance platforms (Availity), ensuring accuracy, efficiency, and HIPAA compliance.

Proficient in organizing and maintaining complex calendars for executives and healthcare professionals. Skilled in scheduling appointments, coordinating meetings across time zones, avoiding conflicts, and ensuring timely follow-ups. Experienced with tools like Google Calendar, Microsoft Outlook, and scheduling platforms to optimize daily workflows, prioritize tasks, and support productivity. Detail-oriented and proactive in anticipating scheduling needs and managing last-minute changes efficiently.

Skilled in verifying patient eligibility, benefits, copayments, deductibles, and prior authorization requirements across commercial and government insurance plans, including Medicare and Medicaid. Experienced in working with major payers such as Humana, Cigna, Bright Healthcare, and Evernorth. Proficient in using portals like Availity and payer-specific systems to confirm coverage and resolve discrepancies. Ensures accurate documentation and timely communication with providers and patients to support smooth claims processing and reduce billing delays.

Thorough understanding of the Health Insurance Portability and Accountability Act (HIPAA) regulations, with hands-on experience ensuring the privacy, security, and confidentiality of patient health information. Skilled in maintaining compliance across all administrative, billing, and clinical communications. Trained to identify and prevent potential breaches, safeguard electronic health records (EHR), and implement best practices for secure data handling in accordance with federal guidelines.