Medical Virtual Assistant

I’m responsible for checking insurance members or patients insurance benefits and eligibility that involves copays, deductibles and coinsurances on both pharmaceutical and medical. I’m also responsible for checking medical and pharmaceutical claims and sometimes I do claim override if its needed. I also check medical authorization resolutions and pharmacy authorization requests. Sometimes I’m the one who initiate a pharmacy authorization request via Cover My Med online. So because of my job experiences. I’m very familiar on how US insurance companies work on their members. I’m familiar with the process and also the steps on handling different kinds of insurance problems (like a claim denial, HMO won’t cover a med because its nots on patients formulary). that a patient may encounter.