John
Medical Virtual Assistant | Insurance Verification | Prior Authorization | Sched
Verified
Overview
Looking for full-time work (8 hours/day)
at $5.85/hour ($1,131.33/month)
Associates degree
Last Active
July 14th, 2026 (4 days ago)
Member Since
December 1st, 2025
Profile Description
Insurance Verification & Healthcare Operations Specialist | Cleaner Claims, Fewer Denials, HIPAA-Trained
Hi, I'm John. I help healthcare businesses, clinics, and surgical centers stop losing time and money to claim denials, missed authorizations, and messy documentation.
For the past 5+ years, I've handled full insurance verification for four Ambulatory Surgical Centers at once, covering eligibility, copay, deductibles, OOP max, authorization requirements, and reimbursement rates for CPT/diagnosis codes. I don't just check boxes; I call insurers directly when benefits are unclear, catch demographic errors before they turn into denials, and keep every case audit-ready.
I've also managed appeals and grievance cases for a Medicare Part D plan, work that earned me a promotion to Team Lead for consistently handling complex, high-stakes cases with accuracy. And I've supported patient-facing coordination, booking and managing therapy appointments while matching patients to the right providers.
I'm proficient across a range of clinical and administrative software systems, including Availity, Raintree Systems, HST Pathways, SIS Complete Tool, and eBridge, and I pick up new platforms quickly.
Here's what you get when you work with me:
-Insurance verification done right the first time (eligibility, benefits, authorizations, reimbursement rates)
-Fewer claim denials and pushbacks through proactive follow-up
-Grievance and case resolution handled with care and compliance
-Strong proficiency in clinical and administrative software systems
-HIPAA-trained, detail-obsessed, and reliable under deadline pressure
If you need someone to own your insurance verification or case management process so you can focus on patient care, let's talk.
Top Skills
Customer Support » Healthcare » Electronic Health Record
Experience: 1 - 2 years
Experienced in using multiple EMR systems in a healthcare setting, with a focus on front-end services, insurance verification, and physical therapy platforms including HST Pathways, SIS Complete, WebPT, and Raintree.
Customer Support » Insurance » Insurance Verification
Experience: 1 - 2 years
I have hands-on experience verifying insurance eligibility, copay, coinsurance, deductible, and OOP max for patients across multiple Ambulatory Surgical Centers. I confirm benefit limits, check authorization requirements, and call insurance carriers directly to clarify unclear details, ensuring accuracy and minimizing claim denials.
Professional Services » Medical Services » Medical Virtual Assistant
Experience: 1 - 2 years
I have over a year of experience handling front-end services for Ambulatory Surgical Centers, including insurance verification, prior authorizations, appointment coordination, and patient communication. I am HIPAA trained and skilled in managing documentation, eligibility checks, and benefit interpretation to support smooth and accurate patient care.
Other Skills
Office and Administration » Calendar Management » Scheduling
Experience: 1 - 2 years
I have experience scheduling patient appointments for physical and occupational therapy, coordinating therapist availability, and managing both inbound and outbound calls to ensure accurate and timely bookings. I also handled scheduling for surgical procedures, including add-on and rescheduled cases, while keeping clients and clinics updated on any changes.
Customer Support » Insurance » Prior Authorization
Experience: 6 months - 1 year
"I obtain prior authorizations for surgical procedures by collaborating with clinics and insurance carriers, ensuring all required documentation is submitted accurately and on time to avoid delays or denials.
Professional Services » Medical Services » Revenue Cycle Management
Experience: 1 - 2 years
I have hands-on experience in front-end revenue cycle management, including insurance eligibility verification, prior authorizations, and benefit interpretation for Ambulatory Surgical Centers. I focus on accuracy and timely processing to help reduce claim denials and ensure smooth patient intake.
Basic Information
- Age
- 27
- Gender
- Male
- Website
- Sign Up with Pro Account to View
- Address
- Davao City
- Tests Taken
- English
- C1(Advanced)
- Government ID
- Sign Up with Pro Account to View
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