Motivated and results-driven individual by giving the best service and an opportunity to practice my skills and knowledge as a virtual assistant. To provide excellent communication skills, proficiency in various software tools and a great ability to manage diverse task concurrently. Committed to offer efficient and a high-standard service while working remotely. Work toward utilizing my problem-skills and contribute in improving the efficiency, integrity and a quality institution.

Detail oriented CPC-A certified Registered Nurse, NCLEX passer, with more than 5 years of homecare clinical experience mainly in a JCI-accredited facility and currently on ISO accredited hospital facility. Seeking a Healthcare Virtual Assistant position where strong clinical judgment, documentation accuracy, and compliance-driven practice can contribute to efficient, quality-focused healthcare operations.

I am a registered nurse and certified professional coder. I can do data entry in excel and word.

Certified Professional Coder with a strong background in risk adjustment coding
and auditing outpatient physical therapy claims. Proficient in ICD-10-CM coding,
with expertise in documenting chronic conditions for accurate HCC capture and
compliance with CMS guidelines. Skilled in medical record review, validating
medical necessity, applying correct modifiers, and ensuring claims meet
compliance and reimbursement standards. Known for maintaining high levels of
accuracy, adhering to ethical coding standards, and thriving in fast-paced
environments. Proficient in EMR systems and coding softwares. A dedicated
team player with thorough knowledge of the healthcare industry, regulatory
requirements, and coding best practices.

Licensed Medical Technologist with solid experience in ICD-10-C-----------dical coding and medical records auditing for virtual healthcare operations. Proven ability to ensure documentation accuracy, maintain regulatory compliance, and support reimbursement integrity. Detail-oriented and reliable, with strong analytical and organizational skills suited for remote, data-driven healthcare environments.

I am a Certified Professional Coder with years of experience working as a Coder/Biller in an outpatient US-based company. I code and bill for housecall visits and telehealth visits. I review and analyze patient medical records to identify relevant diagnoses and procedures. I have a strong communication with medical providers to ensure the accuracy of the CPT codes and ICD-10 diagnoses before sending the claims to the insurance companies. I do denial management and review of claim status for aged claims. I am skilled with medical office software tools such as AdvancedMD, Athena, Inovalon, EZ Claims and Tebra (Kareo).

I Started working on clinical area as Emergency room nurse around 2015 on a secondary hospital for three years wherein I was promoted and worked as Nursing Supervisor for a year then I transferred to a tertiary hospital at 2019 and after a year I was given another promotion as Charged Nurse and OIC duties in the Emergency room area where I stayed for Almost three years . with freelancing experience on real estate industry at 2019 as a cold caller (Lead generator) for two years and another year as Junior Acquisition manager after my promotion. on May 2022 (recent) started working on a home health agency based on Florida as a Clinical reviewer and stayed for three years. I handled reviewing documents from doctors offices and facilities, woundcare supplies coordination, patient chart updates and Clinicians/staffing communications. with experience on using dialers, CRM's, Axxess and kinnser/wellsky (patient chart), Careport/navihealth portals and MS tools.

A dedicated healthcare associate with exceptional organizational skills and a keen eye for detail, proficient in managing calendars, email communication , administrative tasks and research. Efficient and reliable remote support to streamline your business operations and maximize productivity with 5 years experience as a supervisor handling Healthcare account.

US Healthcare Insurance Verification | Prior Authorization | Medical Billing & Coding SpecialistI am a dedicated US healthcare professional with over 5 years of experience supporting medical practices through insurance verification, prior authorizations, medical billing, claims follow-up, patient scheduling, and medical coding.

My background includes working in gastroenterology and bariatric surgery practices, where I handled eligibility and benefits verification, prior authorization requests, claim submission and follow-up, and communication with insurance companies. I have experience working with major commercial and government payers, including Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana, and other regional health plans.

My expertise includes:• Insurance Verification & Eligibility Checks• Prior Authorizations• Medical Billing & Claims Follow-Up• Denial Management & Appeals• Accounts Receivable (AR) Follow-Up• Medical Coding (CPT, HCPCS, ICD-10)• Coordination of Benefits (COB)• In-Network & Out-of-Network Benefit Verification• Patient Scheduling & Care Coordination• HIPAA-Compliant Documentation

I am highly detail-oriented, organized, and committed to accuracy. I understand that timely and accurate insurance verification and billing directly impact patient satisfaction, reimbursement, and practice growth. My goal is to help healthcare providers streamline operations, reduce claim denials, improve collections, and deliver an excellent patient experience.

I am comfortable communicating with insurance companies, patients, and healthcare providers, and I take pride in being reliable, efficient, and proactive in every task I handle. Whether supporting revenue cycle management, front-office operations, or patient coordination, I am committed to helping practices run smoothly and efficiently.

Able to summarize provider's documentation into alphanumeric to be able to get paid by the insurance.
Bill claims, familiar with 1500 claim.
AAPC and HIPPA certifited/ trained.

Specializes in Inpatient Coding, Clinical Documentation Improvement, and DRG Appeals ensuring precise documentation, clarifying complex cases, supporting compliant provider queries, and crafting effective Appeal Letters to accurately capture patient acuity and optimize reimbursement.

Versatile and detail-oriented professional experienced in virtual assistance, social media management, data analysis, appointment setting, and medical coding/billing. Reliable, organized, and efficient, with strong communication skills and a commitment to delivering excellent results.

I was an intern at a Hospital here in Cebu. Currently employed as an IP Claims Analyst and has been one of the top for the last 5 months. I experienced working as a transcriptionist. I have experienced ICD coding in one of the companies that I worked with and also a medical analyst.

Proficient in oral and written communication both in english and filipino. Energetic and can adapt to work schedule changes. Strong knowledge in anatomy physiology, medical terminolgies, ICD 9, ICD 10, HCPCS and CPT codes. Performance oriented with passion, can accomplish or exceed to the daily business needs on time.

Professional Medical Coder