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
Experience: 2 - 5 years
Experienced in medical insurance verification of benefits and eligibility, including confirming patient coverage status, plan activation, eligibility dates, covered services, copayments, deductibles, and in/out-of-network benefits with insurance carriers. Skilled in accurately verifying insurance details to ensure proper eligibility determination and benefits confirmation prior to patient services.
Experience: 2 - 5 years
Experienced in medical insurance prior authorization verification, including determining whether services require authorization, reviewing payer-specific guidelines, and confirming authorization requirements before procedures. Skilled in checking insurance policies, communicating with insurance carriers, and ensuring services are properly authorized or identified as not requiring authorization to support accurate and timely claims processing.
Experience: 2 - 5 years
Experienced in medical insurance verification of benefits and eligibility, including confirming patient coverage status, plan activation, eligibility dates, covered services, copayments, deductibles, and in/out-of-network benefits with insurance carriers. Skilled in accurately verifying insurance details to ensure proper eligibility determination and benefits confirmation prior to patient services.
Experience: 1 - 2 years
Experienced in charge data entry for medical insurance claims, including accurately inputting patient demographics, insurance details, CPT/ICD codes, and service charges into billing systems. Skilled in reviewing documentation for completeness, ensuring data accuracy, and maintaining consistency to support clean claim submission and efficient reimbursement processing.
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