Results-driven professional with over 10 years of experience in healthcare, management, operations, and sales. Skilled in pharmaceutical care, medical billing and coding, revenue cycle management, and healthcare virtual assistance. Adept at handling insurance claims, coding accuracy, patient communication, and administrative support. HIPAA certified and committed to delivering exceptional service, ensuring compliance, and driving efficiency in fast-paced clinical and virtual healthcare environments.
Medical Virtual Assistant / Medical Billing Specialist
Eye Clinic, Kansas | January 2025 – Present
• Process and submit medical claims to insurance companies accurately and promptly.
• Perform insurance verification and obtain prior authorizations to confirm patient eligibility and benefits.
• Communicate with patients to verify and confirm the accuracy of their insurance information.
• Post payments from insurance companies and ensure accurate account reconciliation.
• Monitor the clearinghouse to ensure claims are properly submitted and resolve rejections.
• Track aging reports and follow up on unpaid claims to secure timely reimbursements.
• Identify, appeal, and resolve denied or rejected claims efficiently.
• Coordinate with providers to ensure accurate CPT and ICD-10 coding for precise documentation and patient care.
Billing - Medical Coder
Primary Business Process Outsourcing, Inc. | June 2023 – December 2024
Ophthalmology Clinic, Seattle, WA
• Reviewed codes for diagnoses and procedures using ICD-10 and CPT codes.
• Followed up with insurance companies via calls or portals on denials, unpaid claims, and submitted appeals as necessary, monitoring the status of claims.
• Secured required medical documentation from providers and submitted accurate claims to insurance carriers.
• Perform other administrative tasks and projects as assigned by the Revenue Cycle Manager
Sales Supervisor
Health Metrics Inc. | April 2022 – January 2023
• Developed strong business relationships with clients to drive sales growth.
• Managed compliance reports on client medical updates.
• Scheduled meetings, presentations, and negotiations with potential clients.
Area Manager / Pharmacist
Rose Pharmacy Inc. | April 2021 – April 2022
• Oversaw 9 stores with 95 employees, driving performance and compliance.
• Set and implemented operational standards across all stores.
• Managed inventory, supervised staff, and dispensed medications with patient counseling.
Assistant Store Manager / Pharmacist
Rose Pharmacy Inc. | November 2017 – March 2021
• Supervised pharmacy operations and staff, ensuring compliance with regulations and smooth workflow.
• Dispensed medications accurately and provided patient counseling on prescriptions and health needs.
• Managed inventory, stock control, and administrative tasks to support operational efficiency.
Pharmacist
Rose Pharmacy Inc. | March 2015 – November 2017
• Accurately dispensed medications and provided professional counseling to patients.
• Ensured safekeeping and proper storage of biological and temperature-sensitive medications.
• Maintained compliance with Department of Health (DOH) and FDA regulations.
SKILLS
• Healthcare Software & Portals: RevolutionEHR, Practice Fusion, Advanced MD,
Athenahealth, Noridian, Availity, UnitedHealthcare (UHC), and others
• Medical Billing & Coding (CPT, ICD-10, HCPCS)
• Medical Scribing
• Communication & Patient Care
• Leadership & Team Management
• Problem-Solving & Attention to Detail
• Administrative & Customer Service
CERTIFICATIONS
• HIPAA Certification, 2026
• Certified Professional Coder (CPC), AAPC, 2025
• Medical Virtual Assistant Certification, 2024
• Certified Professional Coder - Apprentice (CPC-A), AAPC, 2023
• CPC Medical Coding Course, US RCM Academy, 2023
• Registered Pharmacist, 2015
Verified
