Medical Virtual Assistant

Experienced in data entry and data analytics as a Biologics Data Analyst, responsible for accurately reviewing, organizing, and maintaining large volumes of healthcare and biologics-related data. Skilled in generating reports, analyzing trends, validating data accuracy, and ensuring timely submission of reports to support operational and business decisions. Proficient in using spreadsheets, databases, and reporting tools while maintaining strong attention to detail, data integrity, and HIPAA compliance in fast-paced remote healthcare environments.

I worked as a Prior Authorization and Accounts Receivable Executive supporting the U.S. healthcare system in a remote setting for over 3 years. My responsibilities included handling inbound and outbound calls with insurance providers, healthcare facilities, and patients to process and follow up on prior authorization requests for medications, procedures, and treatments. I verified patient insurance eligibility and benefits, reviewed clinical documentation, and ensured all required medical records were submitted accurately and on time to avoid delays or denials. I monitored authorization status, performed follow-ups on pending cases, appealed denied requests when necessary, and coordinated closely with providers and clinical staff to obtain supporting documentation. In addition, I managed accounts receivable tasks, resolved insurance claim issues, and maintained accurate patient records while ensuring HIPAA compliance. I also assisted in overseeing teammates and helping the team meet daily prior authorization case quotas and productivity goals. My role required strong knowledge of U.S. insurance processes, attention to detail, multitasking, and effective communication skills in a fast-paced healthcare environment.

Experienced Insurance Verification Specialist with strong knowledge of the U.S. healthcare system, insurance eligibility, benefits verification, and authorization requirements. Skilled in handling high-volume inbound and outbound communications with insurance providers, healthcare offices, and patients while maintaining accuracy and efficiency. Proven ability to review patient information, verify coverage, resolve discrepancies, and update EMR/EHR records with strong attention to detail. Committed to maintaining strict HIPAA compliance and confidentiality while delivering reliable support in fast-paced remote healthcare environments.