Client Intake Specialist | Claims Processing & Denial Management | Healthcare VA
Hi, I'm ----------- from the Philippines. I'm a highly organized, tech-savvy & personable Virtual Assistant and Intake Specialist with over 7 years of experience supporting healthcare providers, insurance companies, and clients in managing eligibility verification, claims processing, and patient or member inquiries. Think of me as your reliable back-office partner — ensuring every claim is processed accurately, every record is complete, and every client receives the support they need.
What I can do to help you:
Assist with insurance claims
Verify patient insurance eligibility and benefits
Educate patients with policy cover
Manage and track prior authorization requests
Address any billing concerns or documentation needs
Process claims and follow up on denials or rejections
Respond to patient inquiries with professionalism and urgency
Coordinate and follow up on patient referrals and new leads
Review, correct, document denial reasons and denied claims
Review and resolve claims discrepancies
Generate insurance and billing reports
Escalate any denied claims
Follow up on pending cases
Process denials within required timeframes
Managing correspondence (email, webmail, social media inbox)
Maintain organized and up-to-date records
Coordinate with insurance providers regarding claim issues
Liaise with brokers, insurers, and internal teams to ensure timely actions
Support data analysis, generate reports, and maintain updated healthcare records
Ensuring strict HIPAA compliance and protect patient confidentiality at all times
Communicate clearly and empathetically with patients, guardians, and providers
Why hire me as your claims specialist and VA:
HIPAA Certified and adheres to patient privacy and confidentality
Proven experience in insurance verification, prior authorizations, billing
Claims handling experience and denial management
Strong attention to detail and organization
Excellent English communication skills (written and verbal)
Comfortable working with cloud-based systems and CRMs
Excellent interpersonal, organizational, and time management skills
Solid understanding of medical terminology and healthcare practices
With working computer, high speed internet, noise cancellation headset
Available to work full-time with US, UK, Canada, Au/NZ timezones
Tools/Programs Proficient:
Salesforce, Google Workspace (Docs, Gmail, Calendar, Drive), Rumba, Carmen systems, Zoom, Slack, Avaya, Salesforce, Google Workspace (Gmail, Docs, Sheets, Forms, Drive), Microsoft Office (Word, Excel, Outlook), OneDrive, Gemini Ai, ChatGPT, Experian, Equifax, Transunion, Client Dispute Manager, and more
Medical Insurance, Medical Billing, Prior Authorization, Insurance, Admin Data Processing, Attention to Detail, Interpersonal, Problem Solving, Medical Services, English Proficiency, Healthcare, Salesforce, Insurance Processing, Claims Processing, Denial Management, Insurance Verification, Pre Authorization, Client Intake, Scheduling, Customer Service, Communication, Organization, Problem Solving, Insurance, Case Management, Negotation, Virtual Assistant, Phone Support, Outbound Calls, Revenue Cycle Management, HIPAA Compliance
