Detail-oriented professional with over 2 years of experience in U.S. healthcare support, including roles as a Customer Service Representative and Medical Virtual Assistant. Skilled in insurance verification, prior authorization, claims resolution, billing, and patient account management. Recognized for strong communication, problem-solving, and adaptability in both provider-facing and back-office tasks, ensuring accuracy, compliance, and excellent service delivery.
Skills • Insurance Verification & Eligibility Checks • Prior Authorization Processing • Claims Assistance & Denial Resolution • Billing & Refund Processing • Patient Account Activation & Closure • Provider Communication • Email & Back-Office Management • Documentation & Compliance • U.S. Healthcare Insurance Knowledge • Customer Service & Problem Solving Attitude & Strengths
• Positive and professional communicator • Detail-oriented and highly organized • Adaptable and quick learner • Patient, empathetic, and customer-focused • Dependable and accountable team player • Strong work ethic with a proactive mindset
Work Experience
Medical Virtual Assistant (9 months) • Handled insurance verification and eligibility for patients. • Managed emails from clinics and organized back-office tasks. • Activated and billed patient accounts accurately. • Processed refunds and reviewed forms to close inactive accounts.
Customer Service Representative – U.S. Healthcare Insurance (1 year 7 months) • Assisted providers on the insurance side with prior authorization requests. • Verified coverage, benefits, and medical necessity to process authorizations. • Handled claims-related inquiries, including status updates, payments, and denied claims. • Resolved billing discrepancies and coordinated with internal teams for adjustments. • Provided clear explanations of claim determinations and insurance policies. • Maintained compliance with insurance guidelines while delivering excellent customer service.
