Healthcare Virtual Assistant |Pharmacy Customer Service Representative
Davao del Sur
I am a skilled Healthcare Virtual Assistant with experience in medical and dental billing, insurance verification, data entry, patient communication, and administrative support. I also have experience as a Pharmacy Customer Service Representative (CSR), assisting customers with prescription-related inquiries, order processing, and providing excellent customer service. I am highly organized, detail-oriented, and proficient in managing healthcare documentation, maintaining accurate records, and supporting healthcare professionals in delivering quality patient care. My strong communication skills and commitment to accuracy enable me to contribute effectively in fast-paced healthcare environments.
CIGNA HEALTHCARE, full_time
Jan 2024 to Nov 2025
1. Manage inbound and outbound calls to address patient concerns related to dental services and procedures. 2. Respond to patient inquiries regarding available services, coverage, and benefits in a courteous and professional manner. 3. Provide accurate information and assistance on general dental inquiries, including referrals to other dental offices when necessary. 4. Support dental bi ling and coding operations by preparing and submitting dental claims, verifying insurance eligibility, and ensuring accurate coding of procedures and diagnoses to facilitate timely and accurate reimbursement.
WELLCARE, full_time
Aug 2022 to Dec 2023
1. Handle inbound and outbound calls to address a wide range of pharmacy-related inquiries with professionalism and efficiency. 2. Accurately process monthly premium payments and reimbursement requests, ensuring timely resolution and member satisfaction. 3. Perform thorough insurance verification and validate member eligibility and benefits in compliance with organizational standards. 4. Coordinate and execute plan changes, along with the updating of eligibility and enrollment information. 5. Maintain and manage Electronic Health Records (EHR) by accurately updating and organizing members' medical histories, claims, diagnoses, treatments, and prescribed medications, while strictly adhering to data privacy and healthcare regulatory requirements. 6. Handle the review, documentation, and resolution of denied claims and pre-authorization requests in alignment with policy guidelines and healthcare protocols.