Medical Virtual Assistant

Medical Virtual Assistant

Experienced Medical Virtual Assistant with expertise in prior authorization (PA) processes, patient communication, insurance handling, and medical record management. Trained in EPIC software and proficient in Cover-----------ds to streamline prior authorization workflows and expedite approval processes. Skilled in managing insurance denials, conducting appeals, and ensuring compliance with HIPAA standards. Detail-oriented, organized, and adept at managing multiple tasks in fast-paced environments to enhance operational efficiency.
With a strong foundation in medical terminology, billing & coding, and a thorough understanding of healthcare systems, I am well-equipped to support healthcare teams and ensure seamless administrative functions. I am committed to advocating for patients and providing high-quality support to doctors, insurers, and patients alike.
__________________________________________________________________________________________

Core Skills

• Medical Terminology & Coding: Proficient in ICD-10, CPT codes, and medical billing systems.

• Insurance & Payer Knowledge: Expertise in navigating insurance policies, processing prior authorizations, and managing denials and appeals.

•Prior Authorization Expertise: Skilled in initiating, tracking, and resolving issues with PAs, including missing or incomplete documents, and advocating for approval.

• EPIC System & EHR Proficiency: Certified user of EPIC, with experience in managing patient data, generating reports, and processing authorizations.

• Cover-----------ds: Proficient in using Cover-----------ds for electronic PA submission, ensuring faster approval processes, and reducing administrative burdens.

• Problem-Solving & Critical Thinking: Strong ability to troubleshoot and resolve issues related to insurance coverage, PA processes, and patient care.

• HIPAA Compliance: In-depth knowledge of HIPAA regulations, ensuring patient data confidentiality and privacy.

• Time Management & Organization: Skilled at managing multiple tasks, prioritizing urgent requests, and meeting deadlines to prevent treatment delays.

• Customer Service & Patient Advocacy: Experienced in handling patient inquiries, providing clear instructions, and ensuring timely resolution of issues.
__________________________________________________________________________________________

Education & Certifications
• Bachelor of Science in Nursing | University of Cebu, Philippines
• Caregiving | UHA Caregiving Academy, Philippines
• HIPAA Certification
• Basics of Medical Billing & Coding | Alison, July 2024
• Diploma in Medical Billing & Coding | Alison, July 2024
• Medical Billing & Coding: ICD-10 & 11 | Alison, July 2024• Medical Office Administration | Alison, July 2024
• Emergency First-Aid | April 2023
• Oxygen Administration & Ventilation | April 2023
• Basic Life Support / CPR With AED | April 2023
• Caregiving NC II | June 2023