Medical Virtual Assistant | Insurance Verification Specialist
Cebu
I am a healthcare operations professional with 9 years of BPO experience, including 5 years at Optum supporting UMR Insurance as a Customer Service Representative. Working on the payer side gave me a strong foundation in insurance verification, eligibility checks, claims resolution, and benefit interpretation. I developed the ability to explain complex coverage details clearly, resolve billing issues, and guide members and providers through pre-authorizations and appeals. Now, I am transitioning to the provider side, where I can leverage my insider knowledge of payer processes to help medical practices reduce claim denials, streamline insurance verification, and improve patient experiences. My unique perspective allows me to anticipate insurance requirements, bridge communication between providers and insurers, and ensure accurate, efficient handling of benefits and coverage. With a proven track record of customer-centered service, compliance expertise, and operational efficiency, I am focused on delivering value as a Medical Virtual Assistant | Insurance Verification Specialist, supporting healthcare providers in delivering seamless care.
Optum-OptumRx, Financial Services, OGA Clinicals, full_time
Dec 2021 to Jan 2026
Optum-UMR Insurance Provider & Member Services, full_time
Oct 2016 to Dec 2021