Hi my name is Reg, your Healthcare Virtual Assistant. I have 3 years of experience in effectively communicating with providers, patients, and insurance providers through inbound and outbound calls. Proficient and exemplary in various tasks such as verification of insurance benefits and eligibility, claims processing, prior authorization, patient communication, and other administrative tasks.
I also worked with Dental clinic and Behavioral Health facility as insurance verification specialist. I am fully knowledgeable with Commercial, Medicare, Medicaid, HMO (IPA) plans. I am also familiar and exposed into different types of insurance portals.
I have excellent attention to detail, and I can understand and follow instructions very well. I am also a person of integrity and takes care of relationships while providing quality work without compromising the quantity. I am resilient, resourceful and can work independently with minimal supervision and under pressure.
I also believe that learning is a life long process, and everything can be learn if the person is willing and intentional about it. I also believe that having a good character and being passionate in what you do is more important than experience.
Skills include but are not limited to:
• Insurance Benefits and Eligibility Verification
• Claims and Billing Specialist
• Care coordinator
• Scheduler
• Customer Service (Call handling & Email)
• Proficient in Microsoft Office/Google Suite
• Attention to details
Tools and sites previously used but not limited to:
• Buzz
• Genesis
• RingCentral
• 8x8 Work and Virtual Office
• Microsoft Office
• Open Dental
• Splashtop Business
• AMD
• NexTech
Responsible for:
• Review and process new claims reports.
• Uphold relationships and communication with insurance departments and clients.
• Organize and present claim review plans.
• Verifying patient benefits and eligibility
• Submitting medical records or authorization numbers for reviews.
• Clarifying claim denials
• Checking provider’s participating status.
• HIPPA Compliance
Verified
