BS Psychology Graduate (Cum Laude) with experience in medical billing, prior authorization, administrative support, and customer service. Skilled in managing schedules, handling client/customer communications, coordinating with healthcare providers and insurance companies, and maintaining organized workflows. Aspiring Virtual Assistant committed to providing efficient, detail-oriented, and professional support.

Experienced Medical Virtual Assistant and Provider Service Advocate with over 4 years of expertise in insurance verification, benefits and eligibility checks, prior authorization processing, and provider support. Skilled in handling insurance inquiries, verifying coverage details, checking prior authorization requirements, and ensuring accurate communication between providers and insurance companies.

Strong experience in calling insurance payers to verify patient benefits and eligibility, confirming authorization requirements, and assisting with charge entry and basic claims-related follow-ups to support smooth revenue cycle operations.

Experienced working with UnitedHealthcare, Availity, Cigna, Noridian, and Blue Shield of California, ensuring accurate processing of insurance-related tasks and provider support.

Proficient in electronic medical records (EMR) systems such as eClinicalWorks (ECW) and Practice Fusion, and experienced in using payer portals and communication tools like RingCentral to support efficient workflow and coordination.

Detail-oriented, organized, and committed to providing accurate, reliable, and efficient administrative support in a fast-paced healthcare environment. Dedicated to helping healthcare providers streamline operations and improve patient insurance processing efficiency.

Core Skills & Expertise:
1. Insurance Benefits & Eligibility Verification
2. Prior Authorization Requests & Requirements Checking
3. Charge Entry Support
4. Insurance Inquiry Handling (Inbound/Outbound Calls)
5. Provider Service Support (UHC Experience)
6. EMR: eClinicalWorks (ECW), Practice Fusion
7. Payer Portals: UHC, Availity, Cigna, Noridian, Blue Shield of California
8. Communication Tool: RingCentral

I am a detail-oriented and motivated healthcare support professional with training and internship experience in medical coding, medical billing, and healthcare administrative operations. During my internship in Abu Dhabi, UAE, I gained foundational knowledge of Revenue Cycle Management (RCM), including medical coding, billing processes, insurance-related workflows, and healthcare documentation. I also developed hands-on experience with ICD-10-CM, CPT, and HCPCS Level II coding, supported by a strong understanding of medical terminology, anatomy, and healthcare compliance.

Data-driven customer and content operation specialist with experience in media analist, reporting, customer support, and compliance.

-Provides administrative support to ensure efficient operation of office.
-Provides information by answering questions and requests.
-Carries out administrative duties such as filing, typing, copying, binding, scanning etc.
-Contributes to team effort by accomplishing related results as needed.
-Focus on detail.
-Willing to work anytime or any schedule given by the client.

I have a strong background in customer service and healthcare support professional with over five years of experience in the BPO industry, specializing in prior authorization, inpatient coordination, insurance verification, and patient support services.

Throughout my career, I have developed strong skills in managing patient cases efficiently, securing timely approvals, and ensuring quality service delivery in fast-paced environments.

Known for being detail-oriented, dependable, and adaptable under pressure, I take pride in delivering accurate and compassionate support while maintaining high standards of professionalism.

Currently, I am working as an Administrative Assistant III with the Department of Education, where I continue to strengthen my administrative, organizational, and communication skills.

At present, I am seeking remote part-time opportunities where I can apply my combined experience in customer service, healthcare support, and administrative work to contribute effectively while continuing to grow professionally.

I am a certified Medical Billing Specialist with 10+ years of hands-on experience in full-cycle revenue cycle management for healthcare providers. I help practices reduce claim denials, accelerate reimbursements, and keep their billing operations fully compliant so you can focus on patient care.

My core expertise includes:

Insurance verification & eligibility checks
Prior authorization coordination
Accurate medical coding & charge entry (ICD-10, CPT, HCPCS)
Claims submission & follow-up (EDI/paper)
Denial management, appeals & root cause analysis
Payment posting & patient billing
AR reporting, aging analysis & performance tracking

I am experienced with major EMR/EHR systems and billing clearinghouses. I take a proactive approach to denial prevention which identifying trends early and working with clinical teams to resolve documentation gaps before they become revenue losses.

Whether you need a dedicated full-time billing specialist or someone to clean up a backlogged AR, I bring reliability, attention to detail, and a results-driven mindset to every engagement.

What I've Done for Clients

Denial Reduction for a Private Clinic
Working with a solo physician practice that was struggling with a high volume of denied claims, I conducted a full audit of their denial patterns and identified the most common root causes in which including missing prior authorizations and coding mismatches. I restructured their claims review process, coordinated with the clinical team on documentation standards, and implemented a denial tracking system. Within a few months, the practice saw a 20–30% reduction in denial rates, freeing up significant recovered revenue that had previously been written off.

End-to-End Billing Support for a Solo Physician
I provided comprehensive revenue cycle management for a solo physician practice, handling everything from insurance verification and prior authorization to charge entry, claims submission, payment posting, and patient billing. Using Kareo as the practice management system and Office Ally / Availity for claims clearinghouse submission, I maintained a consistent billing workflow that kept AR days low and ensured claims went out clean the first time. The physician was able to focus entirely on patient care with full confidence that billing was handled accurately and on time.

Dedicated and detail-oriented Customer Service Representative with over 4 years of experience in healthcare and service industries. Skilled in patient scheduling, insurance verification, prior authorization processing, and EHR systems. Acted as a Subject Matter Expert (SME) for Urology practices, providing training, support, and process improvements. Proven ability to manage high call volumes while delivering exceptional service and ensuring timely care coordination. Strong communication and multitasking abilities in fast-paced clinical environments.

Has the ability to communicate clearly, ensuring high level of customer satisfaction, and resolve concerns efficiently. Detail oriented Customer Service Representative with 2 years of experience in healthcare industry, specialized in prior authorization and patient support. 5 years in Customer service in Real estate industry specialized on sales.

I help medical professionals, agencies, and healthcare businesses reduce administrative workload, maintain compliance, and focus more on patient care through reliable virtual support.

With experience in insurance verification, prior authorizations, appointment scheduling, and healthcare administration, I support efficient day-to-day operations while ensuring accuracy and timely follow-up.

Areas of Support

Insurance Verification & Prior Authorization

Verifying patient eligibility and benefits
Checking deductibles, copays, coinsurance, and out-of-pocket costs
Determining authorization requirements
Submitting and following up on prior authorization requests
Communicating authorization status and documentation requirements

Front-Office & Patient Support

Appointment scheduling and calendar management
Patient intake and registration
Appointment confirmations and reminders
Patient follow-ups and coordination

Clinical & Documentation Support

Reviewing medical records
Updating patient charts and demographic information
Maintaining accurate documentation

Billing & Administrative Support

Medical billing inquiries
Insurance-related follow-up
General administrative and data entry tasks

Provider & Care Coordination Support

Sending and receiving medical faxes
Requesting medical records from providers and facilities
Tracking inbound and outbound records
Coordinating communication between patients, providers, and insurance companies
Tools & Systems
EHR/EMR systems
Practice Management Systems
Insurance Portals
Secure Healthcare Communication Platforms
Compliance & Professional Standards
HIPAA-compliant handling of Protected Health Information (PHI)
Strong attention to detail and accuracy
Excellent communication and organizational skills
Ability to work independently in a fast-paced healthcare environment

I am committed to providing dependable, professional support that helps healthcare teams improve workflow efficiency and deliver a positive patient experience.

Let's connect and discuss how I can support your practice.

I am a Healthcare Virtual Assistant with experience supporting US-based healthcare and customer service accounts in a fast-paced BPO environment. I specialize in patient intake coordination, eligibility verification, prior authorization processing, and healthcare back-office support for clinics and providers.

I have hands-on experience managing high-volume workflows involving patient inquiries, provider coordination, billing support, and claims-related documentation while ensuring accuracy, speed, and compliance with HIPAA-aligned processes.

I am skilled in CRM systems, ticketing tools, Google Workspace (Gmail, Calendar, Docs), and internal healthcare support platforms used in BPO operations. I am comfortable working in structured, metric-driven environments that require attention to detail and efficient multitasking.

Available for full-time remote Healthcare VA roles supporting US clinics, private practices, and healthcare service providers.

Healthcare systems and Software
: Proficient in Tebra and Salesforce
Insurance Authorization Portals
: Availity, Athenahealth/AthenaOne, New
Century Health/Evolent
Data Management
: Skilled in using Microsoft Excel, Google
sheets and other tools for tracking
authorizations and creating reports.
Regulatory Compliance : Understanding
HIPAA guidelines
Communication Tools
: Experience with CRM systems, patient
portals and email platforms for coordination

I am a highly organized and results-driven Senior Prior Authorization Specialist and Medical Virtual Assistant with over 10 years of experience in U.S. healthcare support, medical billing, and insurance coordination. I specialize in managing the full prior authorization lifecycle—from insurance verification and submission to denial resolution and appeals—consistently maintaining a 98% approval rate.

With hands-on experience supporting Family Medicine, Orthopedics, Rheumatology, Pain Management, Neurology, and Behavioral Health, I am well-versed in EMR/EHR systems including Athena, AdvanceMD, Dr. Chrono, Elation, and Meditab. I am also proficient in major insurance portals such as Availity, NaviNet, Cover-----------ds, UnitedHealthcare, Aetna, Molina, and CMS HETS.

Throughout my career, I have collaborated closely with physicians, therapists, case managers, pharmacies, and insurance providers to ensure accurate documentation, timely authorizations, and smooth reimbursement processes. My strong background in billing, coding (CPT, HCPCS, J-codes), claims follow-up, and compliance with Medicare, Medicaid, and commercial payer guidelines allows me to effectively reduce denials and improve revenue cycle performance.

With a Bachelor of Science in Nursing and a solid foundation in patient care and provider support, I bring a patient-centered, detail-oriented, and compliance-focused approach to every role. I am committed to delivering efficient, accurate, and dependable healthcare administrative support while maintaining the highest standards of confidentiality and professionalism

I have years of professional experience handling both prior authorization data entry and product listing data entry. In my role as a Prior Authorization Coordinator, I was responsible for entering and managing patient, provider, CPT, and ICD information into healthcare systems while ensuring all documentation was accurate and complete. This role required a high level of attention to detail, as I regularly verified medical records, reviewed authorization requirements, and coordinated with healthcare providers and insurance representatives to confirm eligibility and approval for medical services.

In addition to my healthcare experience, I also worked as a Social Media Manager focusing on product listing and data entry. I handled uploading and organizing product information such as descriptions, pricing, and images into CRM systems and online platforms. I also assisted in scheduling potential buyers and maintaining organized digital records to ensure product information remained accurate and up to date. Through these roles, I developed strong skills in data entry, database management, documentation verification, and administrative support, while consistently maintaining accuracy and efficiency in fast-paced remote work environments.

Hi
I am a detail-oriented and reliable Prior Authorization Specialist with knowledge in handling healthcare administrative tasks. I am trained in processing insurance approvals, reviewing medical documents, and coordinating with insurance providers such as Humana Inc..

I have experience in:

Prior authorization request processing
Insurance verification and eligibility checking
Medical document review and fax handling
Accurate data entry and record management
Following up pending approvals via phone or email

I am highly organized, with strong attention to detail and the ability to manage multiple tasks efficiently. I am also comfortable working remotely and communicating in English with clients and healthcare providers.

I am eager to help streamline your workflow, reduce delays in approvals, and ensure accurate documentation.

Thank you