Hi! My name is Gregin. Welcome to my profile!
I am a highly experienced Medical Virtual Assistant and Healthcare Support Specialist with a proven track record of supporting US-based clinics, home health agencies, and specialties like Gastroenterology and Pain Management. I have also solid experience with handling different insurances like Medicare, Medicaid and ACA/Obamacare. My core expertise lies in end-to-end prior authorizations, comprehensive insurance eligibility and benefits verification, full-cycle patient intake, and medical records management. Dedicated to strict HIPAA compliance and seamless administrative support, I specialize in bridging communication between patients, healthcare providers, insurance carriers, adjusters, and legal representatives to keep clinical operations running smoothly.
Throughout my experience, I have consistently driven operational efficiency and revenue cycle accuracy. I have managed complex prior authorization workflows for GI surgical procedures, diagnostics, and medications while maintaining a high-efficiency standard with a one-week lead time. In previous roles, I successfully achieved an 80% approval rate for treatment requests, handled Independent Medical Review (IMR) applications through Maximus, and authored standardized operating procedures (SOPs) to streamline departmental workflows. My expertise extends to verifying policy details including deductibles, copayments, coinsurance, and out-of-pocket maximums and confirming network participation to reduce claim denials before care is delivered.
I am highly proficient with industry-leading EHR and EMR systems such as Athenahealth, Epic Systems, NextGen, and Intelligent Medical Software (IMS). Additionally, I have extensive hands-on experience navigating major insurance and payer portals (including Availity, Carelon, Medicare, Kaiser, UHC, Blue Shield and etc), CRM platforms like Zendesk, HubSpot, and Salesforce, and cloud communications systems like RingCentral, Vonage, 3CX, and Slack. With a solid foundation in administrative workflows and technical tools, I offer reliable, high-quality, and detailed healthcare virtual assistance to optimize practice operations and enhance patient care coordination.
Customer Service Excellence:
Multi-channel Support (Voice, Chat and Email)
Ticket Management
Collaboration
Mediation
Retention
Need-based Selling & Cross-selling
Lead Generation
General Tasks:
Customer Service (Phone, Chat & Email)
Ticket Management
Case Management
Data Entry
Research & Data Collection
Organization
Calendar ManagementEmail Management
Medical/Healthcare Administrative Skills:
Insurance and Eligibility Verification
Patient Scheduling and Outreach
Referral and Authorization Coordination
Initial and Progress Reports Coordination
Fax Management
Medical Records Management
Document Management
Claims Status Verification
Accounts Receivable
TOOLS PROFICIENCY
CRM:
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Zendesk
Salesforce
Hubspot
Google Workspace
Microsoft Office
Google Workspace
Medical/Healthcare Tools:
IMS (Intelligent Medical Software)
Practice Fusion
Kareo
athenaOne
Allscripts
Epic
Kinnser Software
CarePort
CareStitch
Availity
Facets
Medisys
NextGen
Phone System:
Vonage
RingCentral
Avaya
VoIP
Communication:
Google Meet
Zoom
Outlook
Gmail
GChat
Whatsapp
Slack
Teams
Password Vault:
LastPassSkype
1Password
Editor:
Canva
CapCut
Other Productivity Tools:
Notion
Loom
Evernote
OneNote
Google Calendar
OneDrive
Krisp
