I am a Healthcare Virtual Assistant with 8+ years of experience in Medical Administration, Prior Authorization, Insurance Verification, and Revenue Cycle Management. I specialize in precertification and imaging authorizations, with hands-on experience in Athenahealth and major payer portals for authorization submission, tracking, eligibility checks, documentation review, and status follow-up. I also have strong RCM experience in claims review, denial follow-up, payment posting, reconciliation, and charge entry. I am detail-oriented, reliable, and comfortable working in fast-paced healthcare environments with minimal supervision.
Tasks I Can Handle
- Prior authorization submission and tracking.
- Precertification for imaging and ordered services.
- Insurance eligibility and benefits verification.
- Medical necessity and documentation review.
- Authorization status follow-up.
- Claims review and claims follow-up.
- Denial investigation and appeals support.
- Payment posting.
- Charge entry.
- Account reconciliation
- Patient demographics and chart review
- Scheduling and coordination support
- Tools and Systems
- Athenahealth
- EPIC 2.0
- NextGen
- RXNT
- Heno
- Carevoyant
- Xifin
- MEDENT
- Portals and Payer Tools
- Availity
- Carelon
- Cohere
- RadMD/NIA
- eviCore
- Evernorth
- UHC
- Navinet
- CDPHP
