Medical Virtual Assistant / Patient Care Coordinator - Healthcare

Medical Scribe Documented real-time patient encounters during consultations to assist healthcare providers. Entered patient histories, chief complaints, assessments, treatment plans, and follow-up instructions into EHR systems. Prepared SOAP notes and ensured complete, accurate medical documentation. Reviewed charts for missing information and ensured proper documentation before provider sign-off. Assisted providers in improving workflow efficiency by reducing documentation burden. Maintained confidentiality and compliance with HIPAA regulations.

Acted as the primary point of contact for patients regarding appointments, treatment plans, and follow-ups. Coordinated communication between patients, providers, pharmacies, and insurance companies. Assisted patients with understanding treatment options, medication schedules, and care instructions. Managed referral coordination and prior authorization requests. Monitored patient progress and ensured adherence to scheduled visits. Resolved patient concerns and provided exceptional patient support throughout their care journey.

Provided remote administrative and clinical support to healthcare providers in primary care, mental health, addiction medicine, and women’s health clinics. Managed patient scheduling, appointment confirmations, and calendar coordination. Verified insurance eligibility, benefits, prior authorizations, and claim status. Assisted with patient intake, registration, and documentation updates in Electronic Health Record (EHR) systems. Handled inbound/outbound calls, emails, and patient inquiries while maintaining HIPAA compliance. Coordinated prescription refill requests and pharmacy communications. Supported providers with referral processing, follow-ups, and medical records requests. Maintained accurate patient records and ensured timely task completion.

Assisted members with inquiries regarding medical and dental insurance benefits, claims, eligibility, and coverage details. Explained policy benefits, deductibles, copays, and provider networks. Processed claims inquiries, appeals status, and authorization requests. Resolved billing issues and escalated complex concerns when necessary. Assisted providers and members with insurance verification and claim-related concerns. Maintained high customer satisfaction by providing accurate information and timely resolutions. Documented all interactions accurately in CRM systems.

Assisted members, providers, and healthcare facilities with inquiries related to medical insurance benefits, eligibility, and coverage. Verified patient insurance eligibility, policy effective dates, and covered services. Handled claims status inquiries, denied claims, appeals, and billing concerns. Explained deductibles, copayments, coinsurance, out-of-pocket costs, and provider networks. Processed prior authorization requests and coordinated with providers regarding approvals. Assisted members in locating in-network providers, specialists, and healthcare facilities. Resolved escalated issues related to claims processing, reimbursements, and benefit disputes. Documented all member interactions accurately in CRM systems while ensuring HIPAA compliance. Maintained high customer satisfaction through effective problem-solving and communication.

Assisted members and dental providers with benefit verification, coverage inquiries, and claim status requests. Explained dental benefits including preventive, basic, and major dental services coverage. Verified patient eligibility, annual maximums, deductibles, and waiting periods. Assisted providers with pre-authorizations, claim submissions, and denied claims follow-ups. Helped members understand coverage for procedures such as cleanings, fillings, extractions, crowns, root canals, and orthodontics. Resolved billing discrepancies and claim-related concerns. Coordinated with dental offices regarding treatment estimates and insurance coverage details. Maintained accurate records of customer interactions in company systems.