Medical Virtual Assistant

Good day! My name is Gicelle G. Souribio (you may call me Gi). I am a highly dynamic and detail-oriented Medical Virtual Assistant based in Calamba City, Laguna, Philippines. Holding a Bachelor's Degree and bringing nearly 6 years of extensive, hands-on experience in the US healthcare industry,

Throughout my career, I have specialized in optimizing remote clinical workflows and providing exceptional administrative support across various medical environments.

I've been a Medical Virtual Assistant specializing in Bariatric Surgery-Weight Loss & Wellness Clinic: I managed care coordination by scheduling doctor appointments, coordinating tea-----------etings, and handling complex booking, cancellation, and rescheduling requests. I conducted patient intake and accurately updated demographic profiles. To support practice revenue, I verified insurance coverage by directly contacting carriers and accessing insurance portals to obtain eligibility and benefits. I routinely secured pre-authorizations for treatments, procedures, and medications. This involved submitting all necessary medical records, laboratory results, and clinical notes in a timely manner and aggressively following up on statuses. I utilized Dr.First and Cover-----------ds to process medication prior authorizations, draft prescription details for pharmacies, and file appeals for denied requests. For overall daily operations, I managed inbound and outbound calls, emails, and faxes, utilizing RingCentral as the primary communication platform to ensure all patient and concerns were catered to on a daily basis.

I've also been a Medical Virtual Asisstant in Psychiatric Mental Health Practice: My core focus centered on processing medication prior authorizations and managing patient communications via Spruce. I addressed inquiries regarding appointment scheduling, prescription refills, medication dosage adjustments, and general provider concerns. I dynamically managed provider calendars to efficiently fill scheduling gaps. Additionally, I handled medical refills by meticulously drafting accurate strengths, quantities, and days' supply. I processed incoming referrals and routed high volumes of emails and faxes to designated staff to streamline workflows. To ensure billing accuracy, I cross-checked provider chart notes to ensure all fields indicated the correct clinical documentation and diagnosis codes. I also routinely verified that insurance eligibility and benefits were active prior to appointments and provided self-pay rate information to patients when necessary.

Prior to my virtual assistant roles, I developed a deep administrative foundation as a Healthcare Insurance Specialist at Genworth Long Term Care Insurance and as an Insurance Provider-Member Services Lead Representative at Horizon Blue Cross Blue Shield. In these roles, I handled high-volume inquiries via phone, chat, and email. I educate policyholders about their Insurance covers, eligibility, plan benefits, exclusions, out-of-pocket limitations, referral requirements, and claims processing. I directly resolved inquiries related to medical billing, claims adjudication, and reimbursements. My back-office duties included managing patient demographic changes, processing payments, reissuing checks, updating mode cases, and documenting extensive account notes. I also evaluated submitted forms and documents to ensure they were in good order to proactively avoid claims denials.

Over my career, I have honed my technical expertise across an array of specialized healthcare software, EHRs, and portals, including Exemplo, eClinicalWorks, Insync, Tebra, Dr.First, Availity, Trizetto, Cover-----------ds, PEGA, CLOAS, Reporting Star, Superclue, Zendesk, and EWD. I am highly efficient in utilizing RingCentral and Spruce for practice communications, alongside Google Workspace, Zoom, Teams, Outlook, Word, Excel, PowerPoint, and PDF tools.

Furthermore, I am HIPAA Certified and have completed formal Availity training and Lean Data Training. These qualifications equip me with the in-depth knowledge and skills necessary to handle sensitive patient information securely and ensure strict compliance with established healthcare industry regulations.

I am seeking a position where I can utilize my customer service excellence and extensive healthcare administrative support experience to optimize your practice’s daily operations.

Thank you for your time and consideration. I look forward to the opportunity to connect and discuss how I can bring immediate value to your practice.