I am a dedicated Healthcare Insurance Support Professional with over 6 years of experience in U.S. healthcare claims processing, insurance verification, and customer support. My background includes 2 years as a remote Verification of Benefits (VOB) Specialist and 4 years as a Claims Specialist in the BPO industry.
I specialize in insurance eligibility and benefits verification, claims processing, denial resolution, coordination of benefits (COB), prior authorizations, and provider-payer communication. I am experienced in handling PPO, HMO, Medicare, Medicaid, Behavioral Health, Mental Health, and Substance Use benefits while maintaining HIPAA compliance and accuracy in documentation.
Known for my attention to detail, strong problem-solving skills, and commitment to excellent service, I help healthcare providers streamline operations, reduce claim issues, and improve the patient experience. I am comfortable working independently in remote environments, managing multiple tasks, and collaborating across different time zones.
Core Skills:
• Insurance Eligibility & Benefits Verification (VOB)
• Healthcare Claims Processing & Resolution
• Denial Management & Appeals
• Coordination of Benefits (COB)
• Prior Authorization Support
• HIPAA-Compliant Documentation
• Provider & Patient Communication
• Behavioral Health & Substance Use Benefits Verification
• EMR/EHR Documentation
• Remote Administrative Support
I am seeking opportunities where I can contribute my healthcare expertise, reliability, and commitment to delivering high-quality results.
Experience: 5 - 10 years
Healthcare & Insurance Expertise • U.S. healthcare claims processing (PPO, HMO, Medicare, Medicaid) • Insurance eligibility & benefits verification (Behavioral/Mental Health, Substance Use) • Claims resolution, denial management, Coordination of Benefits (COB), and prior authorization • HIPAA-compliant documentation and communication • Familiar with Availity, provider portal Virtual Assistant / Remote Work • Experience in remote work setups across multiple time zones • EMR/EHR documentation & CRM system navigation • Coordination with admissions, billing, and intake departments Technical & Administrative Skills • Proficient in MS Office, Google Workspace, EHR/CRM platforms • Strong written and verbal communication in English • High accuracy in data entry & information handling • Fast learner, organized, and highly adaptable
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