Experienced Medical Virtual Assistant and Provider Service Advocate with over 4 years of expertise in insurance verification, benefits and eligibility checks, prior authorization processing, and provider support. Skilled in handling insurance inquiries, verifying coverage details, checking prior authorization requirements, and ensuring accurate communication between providers and insurance companies.
Strong experience in calling insurance payers to verify patient benefits and eligibility, confirming authorization requirements, and assisting with charge entry and basic claims-related follow-ups to support smooth revenue cycle operations.
Experienced working with UnitedHealthcare, Availity, Cigna, Noridian, and Blue Shield of California, ensuring accurate processing of insurance-related tasks and provider support.
Proficient in electronic medical records (EMR) systems such as eClinicalWorks (ECW) and Practice Fusion, and experienced in using payer portals and communication tools like RingCentral to support efficient workflow and coordination.
Detail-oriented, organized, and committed to providing accurate, reliable, and efficient administrative support in a fast-paced healthcare environment. Dedicated to helping healthcare providers streamline operations and improve patient insurance processing efficiency.
Core Skills & Expertise:
1. Insurance Benefits & Eligibility Verification
2. Prior Authorization Requests & Requirements Checking
3. Charge Entry Support
4. Insurance Inquiry Handling (Inbound/Outbound Calls)
5. Provider Service Support (UHC Experience)
6. EMR: eClinicalWorks (ECW), Practice Fusion
7. Payer Portals: UHC, Availity, Cigna, Noridian, Blue Shield of California
8. Communication Tool: RingCentral
