Medical Virtual Assistant | Healthcare Support Specialist
Metro Manila, Valenzuela, Philippines
Healthcare support professional with 7+ years of experience in U.S. utilization review, prior authorization, eligibility verification, and patient care coordination across multiple EMR/case management platforms. HIPAA-certified, with proven adaptability across behavioral health, DME, and general medical accounts.
HELPSQUAD, full_time
Mar 2026 to Sep 2026
Managed discharge summaries, IP/OP authorizations and appeals, and AOR submissions from the provider side. Compiled patient medical records and tracked absences and sessions for utilization reporting.
DME SERVICE SOLUTIONS, full_time
May 2023 to Jun 2026
Verified patient demographics, insurance eligibility, and pre authorizations for new DME patient intake. Collected copays/balances and supported sales, billing, and appointment scheduling.
EVOLENT HEALTH PHILIPPINES / Genfinity, full_time
Oct 2022 to Feb 2023
Resolved client complaints and verified patient/insurance eligibility to prevent claim denials.
NTT DATA SERVICES, full_time
Feb 2022 to Oct 2022
Made outbound collections calls to U.S. insurers and analyzed claims for quality resolution and billing. Appeals and account receivable
HGS - HINDUJA GLOBAL SOLUTIONS, full_time
Sep 2020 to Jan 2022
Resolved authorization delays with patients, providers, and insurers; created prior authorizations for medical, DME, behavioral health, and medication services.
CELO BUSINESS SOLUTIONS INC., full_time
Jul 2018 to Feb 2020
Managed customer inquiries via a non-voice, system-based email support process for an international account