I am a highly detail-oriented health insurance professional with over 6 years of experience in medical billing (administrative assistance), insurance verification, and prior authorizations. I specialize in designing efficient workflows and automating processes using Google Sheets and App Script to improve accuracy and save time.
My expertise includes verifying medical benefits for urgent and elective cases, securing prior authorizations and referrals, resolving claim denials, and auditing EMR systems to ensure data integrity. I am also skilled in building custom tracking systems and automated reports to streamline verification and authorization processes.
Key skills:
Insurance Verification & Authorization
Administrative Medical Coding & Billing
EMR Proficiency (Tebra/Kareo, Clinicient)
Google Sheets & App Script Integration
Claims Denial Management
Data Entry & Workflow Automation
Project Tools: ClickUp, Basecamp
Handled Insurance Providers:
Aetna
Ambetter
Blue Cross Blue Shield
CarePlus
Cigna
Emblem Health
Fidelis Care
Freedom Health
Health First
Humana
Medicaid
Medicare
MetroPlus
Simply Healthcare
Sunshine Health
Tricare
UnitedHealthcare
WellCare
And various other commercial insurance providers
I hold a degree in Business Administration with a focus on Human Resources and am fluent in both English and Tagalog. With a strong focus on precision, accountability, and results, I'm ready to bring dependable support to your medical or administrative team.
