US Medical Virtual Assistant

Supported US based physicians in managing medical billing processes for patient insurance claims. Verified patient insurance eligibility and coverage Secured prior authorizations from insurance providers when required. Prepared and submitted accurate insurance claims, ensuring correct patient demographics, diagnosis, procedure codes, and facility details. Communicated with insurance companies to track claim status and expedite payment processing. Posted insurance payments and ensured proper allocation to patient or provider accounts. Prepared and submitted appeals with supporting clinical documentation Supervised billing representatives responsible for daily claim submissions and payment postings, ensuring compliance with standard procedures. Conducted regular quality checks to identify errors, streamline workflows, and improve process efficiency. Maintained accuracy and timeliness in all billing operations to support consistent revenue cycle performance. Strengthened attention to detail and adherence to structured workflows while fostering team productivity and accountability.

• Request authorization for home health care services • Send appeals for authorization and claim denials

Conducted multi-phase training programs focused on the U.S. healthcare industry, tailored to account-specific workflows and compliance standards. Delivered introductory courses covering healthcare fundamentals, insurance processes, and industry terminology. Integrated grammar and communication modules to strengthen professional correspondence and accuracy in documentation. Led product-specific training on tools, systems, and procedures related to healthcare operations and billing. Applied adult learning principles to effectively engage diverse learners and ensure knowledge retention. Managed classroom dynamics, provided mentorship, and maintained a productive, learner-centered environment. Collaborated with management to assess training effectiveness and implement continuous improvement strategies.

• Verify patient’s eligibility with different insurance portal • Input the patient’s demographics and insurance details in EHR • Upload all demographics, insurance (authorization and claims) related documents in EHR