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.
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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.
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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
