SENIOR PATIENT SPECIALIST | HEALTHCARE ADMINISTRATIVE SUPPORT
Metro Manila
I am a Senior Patient Specialist with over 4 years of experience in the healthcare BPO industry, specializing in patient registration, pre-registration, insurance verification, benefits verification, and surgical authorization. My experience has allowed me to develop strong skills in healthcare administration, patient communication, insurance coordination, data entry, documentation, and handling sensitive patient information. I have worked with healthcare platforms and communication tools such as Epic, Cerner, Availity, WellSky, and RingCentral. I am detail-oriented, organized, and committed to providing accurate and efficient administrative support. I am comfortable handling multiple tasks, communicating with patients and healthcare providers, researching insurance information, and resolving issues while maintaining confidentiality and HIPAA compliance. Although my professional background is primarily in healthcare BPO rather than a traditional virtual assistant role, I am confident that my healthcare administrative experience and strong attention to detail can translate effectively into remote administrative and healthcare support positions. I am eager to bring my experience, reliability, and willingness to learn to clients who need dependable administrative support.
Conifer Health Solutions, full_time
Jun 2024 to Mar 2026
Provided healthcare pre-registration and patient access support, ensuring accurate collection and verification of patient demographic, insurance, and medical information prior to scheduled services. • Completed patient pre-registration by accurately collecting and updating demographic, contact, and insurance information. • Verified insurance eligibility, benefits, coverage, and patient financial responsibilities using healthcare systems and payer portals. • Reviewed insurance requirements and identified information needed to support a smooth registration and scheduling process. • Communicated professionally with patients to obtain necessary information, explain registration requirements, and address questions or concerns. • Coordinated with healthcare providers, facilities, and insurance companies to resolve discrepancies and ensure accurate patient records. • Maintained accurate and up-to-date patient information while handling confidential healthcare data in accordance with HIPAA guidelines. • Reviewed patient accounts for completeness and accuracy and identified potential issues that could affect coverage or service. • Utilized healthcare systems and tools to document patient information, verify insurance details, and complete pre-registration tasks efficiently. • Managed multiple patient accounts and priorities while consistently meeting productivity, accuracy, and quality standards.
Conifer Health Solutions, full_time
Jul 2023 to Mar 2026
Promoted to Senior Patient Specialist with additional responsibilities in team leadership, training, quality assurance, and performance management. Provided healthcare administrative and patient access support while serving as a point of contact for team members and assisting with daily operations. • Handled patient registration, pre-registration, insurance eligibility and benefits verification, and surgical authorization processes. • Trained and supported new hires, helping them understand processes, systems, workflows, and quality expectations. • Served as the acting point of contact for a team of 15 members whenever the supervisor was unavailable, ensuring daily operations and productivity were maintained. • Conducted supervisor calls and addressed team concerns, questions, and operational issues. • Performed daily quality audits and reviewed team members’ work for accuracy, compliance, and adherence to established processes. • Monitored team performance and productivity on a daily basis and prepared end-of-day performance reports for management. • Conducted weekly coaching sessions with team members to discuss performance opportunities, identify areas for improvement, and provide actionable feedback. • Communicated with patients, healthcare providers, and insurance companies regarding coverage, benefits, and authorization requirements. • Maintained accurate patient information and documentation while handling sensitive healthcare information in accordance with HIPAA guidelines. • Utilized healthcare systems and tools including Epic, Cerner, Availity and other payer portal. • Managed multiple priorities while maintaining accuracy, productivity, quality, and excellent service.
Conifer Health Solutions, full_time
Jul 2022 to Mar 2026
Provided insurance verification and healthcare administrative support by accurately verifying patients’ insurance eligibility, benefits, and coverage prior to scheduled medical services. • Verified insurance eligibility, active coverage, plan benefits, and patient financial responsibilities through payer portals and healthcare systems. • Reviewed insurance plans to determine deductibles, copayments, coinsurance, out-of-pocket responsibilities, and coverage limitations. • Researched and identified authorization and referral requirements based on the patient’s insurance plan and scheduled services. • Communicated with insurance companies to clarify benefits, coverage details, and authorization requirements. • Coordinated with patients and healthcare providers to obtain and communicate necessary insurance information. • Updated and maintained accurate insurance and patient information in healthcare systems. • Identified discrepancies in insurance information and worked with the appropriate parties to resolve issues before services were provided. • Documented verification results accurately and ensured all required information was available for patient accounts. • Handled sensitive patient and insurance information while maintaining confidentiality and following HIPAA guidelines. • Managed multiple verification requests while meeting productivity, accuracy, and quality standards.