Medical Virtual Assistant | Insurance Verification Prior Auth
Cebu
Hello! I'm Cristina Catacio, a dedicated Medical Virtual Assistant with over five years of experience supporting U.S. healthcare organizations. I have a strong background in patient coordination, insurance verification, benefits and eligibility, prior authorization support, medical records management, and medical claims processing. Throughout my career, I've worked with Medicare and Medicaid members, assisting them with understanding their coverage, verifying insurance eligibility, explaining benefits, coordinating appointments, and addressing claims-related concerns. As a Patient Coordinator, I managed high-volume inbound and outbound calls, scheduled consultations, maintained accurate patient records, and collaborated with healthcare providers to ensure a smooth patient experience. I also have experience migrating electronic medical records using Tebra and xCures while maintaining HIPAA compliance and data accuracy. What sets me apart is my ability to communicate with empathy, stay organized under pressure, and quickly adapt to new systems and workflows. I take pride in being detail-oriented, dependable, and proactive, always striving to provide excellent support to both patients and healthcare providers. If you're looking for a reliable Medical Virtual Assistant who understands the U.S. healthcare system and is committed to delivering accurate, compassionate, and efficient administrative support, I'd be excited to help your practice succeed.
MedVA, full_time
Nov 2025 to Apr 2026
Patient Coordinator | Urgent Care (Current) Responsibilities Managed 400+ inbound and outbound patient calls daily, providing professional and compassionate customer service. Scheduled patient consultations and coordinated appointments with healthcare providers. Verified patient eligibility and insurance information before appointments. Documented patient interactions accurately and maintained electronic medical records. Coordinated patient transfers and communicated with clinical staff to ensure continuity of care. Followed HIPAA guidelines to protect patient confidentiality. Achievements Successfully handled a high-volume workload while maintaining accuracy and professionalism. Contributed to a smooth patient experience through timely scheduling and follow-up. Built strong rapport with patients through effective communication and empathy. Medical Virtual Assistant | Medsync Responsibilities Migrated patient records from xCures to Tebra with a high level of accuracy. Updated medications, allergies, and patient demographics in electronic health records. Reviewed medical records for completeness and accuracy. Maintained data integrity and HIPAA compliance. Achievements Completed medical record migrations accurately with minimal errors. Helped maintain organized and up-to-date patient records for healthcare providers. Claims Processor | Elevance Health (Wipro) Responsibilities Processed approximately 90 medical claims daily. Reviewed diagnosis codes, procedure codes, authorizations, and supporting documentation. Investigated claim discrepancies and resolved billing issues. Maintained compliance with insurance guidelines and HIPAA regulations. Achievements Consistently met productivity and quality standards. Ensured accurate claims processing while minimizing errors and delays. Insurance Account Representative | Aetna (EXL) Responsibilities Assisted Medicare and Medicaid members with benefits and eligibility inquiries. Explained insurance coverage, copays, deductibles, coinsurance, and out-of-pocket costs. Verified member eligibility and benefit information. Assisted members with prior authorization requirements and claims-related questions. Provided accurate information while maintaining compliance with HIPAA. Achievements Delivered excellent customer service by helping members understand complex insurance information. Resolved member inquiries efficiently while maintaining high-quality service standards.