Healthcare Virtual Assistant with 3+ years of US healthcare experience specializing in insurance eligibility and benefits verification, prior authorizations, coordination of benefits, denials and appeals, and claims resolution. Experienced working with insurance providers, payer portals, and EMR/EHR systems including Raintree EMR and Athenahealth to ensure accurate and timely processing of patient insurance information.
Skilled in verifying coverage details, deductibles, copays, coinsurance, authorization requirements, CPT/DX code validation, and handling urgent authorization requests. Strong background in supporting providers, front desk staff, and schedulers while maintaining accurate documentation and efficient communication across multiple Lines of Business.
Proficient with Salesforce, Facets, Cotiviti, Availity, Waystar, UHC, Cigna, Kaiser, Medicare Noridian, and Blue Shield portals. Detail-oriented, organized, and capable of managing multiple priorities in fast-paced healthcare environments while delivering excellent provider and patient support.
