Registered Nurse and Medical Virtual Assistant with 12+ years of experience in home health, insurance verification, prior authorization, clinical documentation QA, OASIS review, patient coordination, and healthcare administration. Experienced in working with U.S. healthcare providers using Axxess, WellSky, AdvancedMD, and insurance portals while maintaining HIPAA compliance and delivering accurate, timely support.
Key Achievements:
12+ Years of Healthcare Operations Experience. Built extensive experience supporting diverse healthcare settings, including home health, outpatient rehabilitation, and ENT specialty practices, with expertise in clinical documentation, insurance processes, and healthcare operations.
Clinical Documentation Excellence. Performed quality assurance reviews of clinical documentation and follow-up notes, ensuring accuracy, completeness, regulatory compliance, and reduced documentation errors.
High-Volume Insurance Coordination. Managed high-volume insurance benefit verifications and prior authorization requests for ENT surgery, Physical Therapy (PT), and Speech Therapy (ST) through phone and payer web portals, supporting timely approvals and continuity of patient care.
Operational Efficiency & Care Coordination. Contributed to efficient healthcare operations through documentation review, authorization management, coordination with providers, clinicians, home health agencies, and insurance representatives, helping maintain accurate records and streamlined workflows.
Experience: 10+ years
Maintained strict confidentiality of patient data, ensured all activities followed HIPAA regulations, and assisted in auditing records for compliance.
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