Virtual Assistant
Philippines
š„ Healthcare & Medical Support - Claims Processing ā Reviewing, submitting, and tracking medical insurance claims for accuracy and compliance. - Eligibility & Benefits Verification ā Confirming patient coverage, benefits, and insurance details with carriers. - Prior Authorization ā Coordinating with providers and insurers to secure timely approvals for medical procedures and treatments. - Medical Record Retrieval ā Requesting, organizing, and delivering patient records for claims, audits, or provider use. š Administrative & Documentation - Patient & Provider Guidance ā Assisting with insurance inquiries, explaining benefits, and resolving claim issues. - Workflow Documentation ā Creating guides, checklists, and templates to streamline healthcare operations. - Case Management ā Handling multiple cases simultaneously, maintaining trackers, and ensuring timely resolution. - Carrier & Stakeholder Coordination ā Communicating with insurance carriers, providers, and patients to resolve discrepancies. ā” Strengths & Value - Accuracy & Compliance ā Ensuring all processes meet regulatory and organizational standards. - Efficiency ā Reducing turnaround times and minimizing errors through structured workflows. - Patient-Centered Approach ā Enhancing satisfaction by simplifying complex insurance and medical processes. - Instructional Design Integration ā Leveraging training and documentation expertise to improve healthcare team performance.
Ark Healthcare, contract
Mar 2025 to Aug 2025
Fill out forms that are submitted as part of the invoices for the services Preparing cost estimates and guarantee-of-payment quotes for patients Creating and editing consent forms for the procedures. Sending Claims (HCFA) through Ecw Email and Data Management Finalize and create a schedule of procedures Coordinate the request for a scheduled appointment with the referral team Data Entry and Uploading of Documents. Assign accurate codes for diagnoses, procedures, and treatments using classification systems like ICD-10, CPT, and HCPCS
San Pedro Calungsod Medical Center, full_time
Aug 2024 to Dec 2024
Take and record vital signs Help patients use the bathroom Clean and bathe patients or residents Maintain patients' hygiene and change bedding Turn, reposition, and move patients between wheelchairs, seats, and beds Measure vital signs like blood pressure and temperature Listen to patients regarding any health concerns and report details to a Registered Nurse or Doctor Assist patients with bathing, dressing, grooming, and toileting. ā¢ Assist patients with meals, ensuring they receive appropriate and safe nutrition. Administer medications as prescribed by the RN, following strict protocols. Assist with wound care, dressing changes, and other procedures as instructed. Accurately record patient care activities and observations in the patient's electronic health record (EHR).
CHSI , contract
Feb 2024 to Aug 2024
Assist customers in APE (Annual Physical exam) or Pre-Employment Medical, referral for diagnostic exam, including drug testing. Verify Insurance Eligibility and coverage of service Data Entry and Data Management Quoting medical services, billing, and creating invoices Other ad-hoc
Legal Soft Solutions, contract
Jul 2023 to Dec 2023
Assist in creating, formatting, proofreading, and organizing legal documents. Maintain client databases. Renaming the document and uploading to the system. Interview/verify the customer's ability to obtain the statement. Requesting supporting documents related to the case. Other Ad-hoc: email, calendar
EXL Service Philippines Inc, full_time
Apr 2019 to Mar 2023
Interview potential candidates. Conduct medical retrieval training in virtual or office settings, including medical records, invoice follow-up, and pre-auth to members. Onboarding of new hires and offboarding of resigned agents. Identify skill gaps and recommend coaching or additional training Refresher, Coaching, and certification. Write curriculum, training modules, graphic design, Process Models, process improvement, and cascading operational updates HIPAA certification, compliance requirements check, and initiating background checks in third parties. Employee Onboarding facilitation of onboarding sessions, ensuring new hires feel informed and supported Efficient and accurate account setup for new hires within specified timelines Address questions and concerns from new hires during their onboarding period as needed Updates to onboarding materials to reflect organizational changes as needed Gather and analyze scheduled feedback surveys from new hires regarding their onboarding experiences Set up accounts and provide access to the necessary tools and platforms for new hires Prepare onboarding materials, including welcome kits, presentations, and schedules Act as a point of contact for new hires, addressing questions and concerns during their onboarding period. Initiating a request for their systems. Collaboration with HR and people managers to tailor onboarding content to department-specific needs Track onboarding progress, gather feedback, and suggest improvements to the process Maintain accurate records of onboarding activities and documentation Ensure compliance with company policies and legal requirements throughout the onboarding process Handle special onboarding requests, including custom training sessions or unique account setups for specific roles
Access Healthcare Services, full_time
Dec 2017 to Mar 2019
Initiate requests via outbound calls or online. Clinical review for the prior authorization of procedures, including surgeries, imaging, and more. One-on-one discussions with providers to provide information on patients in medical records.
Intelenet Global Services/ Teleperformance, full_time
Aug 2017 to Dec 2017
Answer the inbound call for bank inquiries. Checking of dispute (billing concern).
TTEC , full_time
Aug 2016 to Aug 2017
Manages inbound for members. Quoting eligibility and benefits of the customer's insurance policy. Discrepancies in medical billing: claim adjustment and processing invoices. Processing claims, checking documents, images, and CPT or ICD-10 codes. Process payment, add payment details, and post payment. Creating tickets for the back office: appeals and grievances. Assisting in the enrollment of the insurance.
iQor Philippines
Mar 2016 to Jul 2016
Answer Inbound inquiries on telecommunication accounts, verifying information, and up-selling. Port in and Port out of line. Transfer of responsibility for the line to another provider. (change of responsibility) Assist with technical issues or provide technical support. Running of social for new lines (credit check).
Lopez Residence, full_time
Aug 2013 to Mar 2016
Monitoring Vital Signs Carry out the doctor's orders Give medication as the doctor orders Daily care for a bedridden patient Assist with personal hygiene tasks, such as bathing, grooming, and toileting. Manage feeding, administering nutrition through feeding tubes if necessary. Help patients transfer and reposition to prevent pressure sores and maintain mobility.
St. Therese de Lima Medical Hosp, full_time
Jun 2011 to Jul 2013
Monitoring Vital signs Assist in the initial physical assessment(APGAR Score), measurement, and Vaccination of a newborn (BCG, Hepa B, OPV) Carry out the doctor's orders. Give medication as the doctor orders. Assisting with procedures like intubation, ventilation, and feeding tube placement. Taking care of a critical baby that will be admitted to the neonatal intensive care unit.