Med VA (Insurance Verifier|Claim Specialist|Virtual Assist.)

In my previous role as an Accounts Receivable Specialist for a healthcare account, I was responsible for generating patient billing statements and sending invoices via email. I processed online payments through Authorize.net and ensured they were accurately reflected in each patient’s account. I consistently monitored account activity to identify any missed or late payments and followed up with patients or insurance providers as needed—always maintaining a professional and respectful approach. I regularly reconciled the AR ledger to confirm all payments were properly recorded and ensured that patient records remained accurate and up to date. As part of the month-end close process, I assisted with preparing AR reports and journal entries. I also responded to billing inquiries, resolving discrepancies promptly and efficiently. My daily responsibilities included close collaboration with clinical staff and the front office to maintain accurate billing practices, all while adhering to internal policies, HIPAA guidelines, and healthcare industry standards.

As a Claims Specialist, I was responsible for handling incoming claims with a strong focus on accuracy, completeness, and policy eligibility. I conducted thorough investigations by collecting supporting documentation from clients, providers, and policyholders, ensuring all information met internal guidelines and regulatory requirements. I kept detailed records of each claim and worked closely with both clients and internal teams to address and resolve any issues that came up. I also tracked the progress of pending claims to ensure timely resolution, coordinated with departments like underwriting and legal when needed, and escalated any complex or questionable cases for further review. In addition, I helped management by preparing reports and summaries to highlight claim patterns and support informed decision-making.

In my previous roles, I’ve worked with insurance benefit verifications, processed claims, and helped both members and providers with their questions in a timely and professional way. My proficiency in navigating payer systems, verifying insurance eligibility and coverage, and adhering to HIPAA and organizational policies has allowed me to support both patients and providers effectively. Whether following up on claims, collaborating with healthcare teams, or assisting policyholders, I consistently deliver accurate, empathetic service in fast-paced, high-volume settings. Key strengths: Proficiency in systems like eClinicalWorks (eCW) and Harris CareTracker In-depth knowledge of insurance claims processing, denial management, and collections Clear, empathetic communication with patients, ensuring a positive experience A proven track record of working independently while consistently meeting deadlines