Healthcare Insurance Verification Virtual Assistant
Cavite
I'm a dedicated Healthcare Virtual Assistant with a strong background in customer service, healthcare insurance, and quality assurance. I have experience handling insurance eligibility and benefits verification, claims and billing inquiries, prior authorizations, and provider support while ensuring accuracy and compliance with healthcare guidelines. Throughout my career, I've worked with patients, providers, and insurance companies to deliver timely, accurate information and resolve complex issues with professionalism and empathy. I'm proficient in using CRM and EHR systems, documenting interactions, and managing multiple tasks in fast-paced environments while maintaining a high level of attention to detail. What sets me apart is my commitment to accuracy, strong problem-solving skills, and customer-first approach. I take pride in being dependable, adaptable, and proactive, always striving to improve processes and provide exceptional support. Whether working independently or as part of a team, I am dedicated to helping healthcare practices operate efficiently while ensuring a positive experience for both patients and providers. I look forward to bringing my skills and experience to your team and contributing to your organization's success.
Optum Global Solutions, full_time
Jul 2024 to Apr 2026
Key Responsibilities: - Assisted members and providers with benefit, eligibility, and coverage inquiries. - Verified patient eligibility, plan benefits, and coverage limitations. - Explained deductibles, copayments, coinsurance, out-of-pocket costs, and claims status. - Assisted with prior authorization requirements and referral guidelines. - Researched and resolved claims and billing issues. - Documented customer interactions accurately using CRM systems. - Coordinated with internal departments and healthcare providers to resolve complex cases. - Maintained confidentiality of protected health information (PHI) in compliance with HIPAA. - Delivered empathetic, professional customer service while meeting quality and productivity standards. - Educated members on healthcare policies, plan provisions, and available resources to improve their overall experience.