Overview
Hi, I'm Jasper! I am a Senior US Healthcare Insurance Specialist & Virtual Medical Assistant with over 7 years of dedicated experience streamlining front-end Revenue Cycle Management (RCM) workflows for US-based clinics, practices, and healthcare providers.
I specialize in high-volume eligibility verification, securing complex prior authorizations, resolving claim denials, and building custom Google Sheets automation tools to eliminate manual bottlenecks, prevent timely filing write-offs, and accelerate reimbursement cycles.
Core Competencies
Front-End RCM & Eligibility: Batch eligibility checks, detailed patient benefits verification (VOB), co-pay/deductible/coinsurance calculations, and referral coordination.
Prior Authorizations (PA): End-to-end authorization submissions, clinical documentation gathering, payer follow-ups, and peer-to-peer coordination.
Denial & EOB Investigation: In-depth Explanation of Benefits (EOB) analysis, claim error rectification, root-cause denial tracking, and billing department collaboration.
Process Automation: Custom Google Sheets dashboards, automated tracking workflows, and script integration to boost daily task throughput and accuracy.
Tools, EMRs & Software
EMR / EHR Systems: Tebra / Kareo, Practice Fusion, eClinicalWorks, Clinicient
Payer Portals & Clearinghouses: Availity, pVerify, Waystar, Optum, UnitedHealthcare, BCBS, Aetna, Cigna, Medicare/Medicaid portals
Telephony & Communication: RingCentral, Vonage, Google Voice, Basecamp, ClickUp, Slack
Productivity: Advanced Google Sheets / Excel (formulas, automated tracking templates), Google Workspace
Professional Background Highlights
Insurance Specialist | Stat Care (2022–2026): Verified high-volume daily eligibility via Tebra and Availity; managed multi-specialty prior authorizations; engineered custom spreadsheet tracking automations that reduced verification turnaround times.
Insurance Supervisor | Theradynamics NY/NJ (2019–2022): Supervised front-end RCM workflows and led a team of 5; audited clinical accounts in Clinicient; systematically reviewed EOBs to overturn claim denials and ensure timely filing compliance.
Certifications & Compliance
HIPAA Compliant: Steri-Safe Certified
English Proficiency: EF SET C2 Proficient (Advanced / Native-level fluency)
Education: B.S. in Business Administration (Major in Human Resources Development Management)
Why Hire Me?
Zero Ramp-Up Time: Deeply familiar with US healthcare terminology, CPT/ICD-10 coding nuances, and major payer guidelines.
Reliable & Proactive: Proven track record in both independent production and team supervision roles.
Tech-Driven: I don't just follow SOPs. I optimize them with structured reporting and automation.
Looking forward to helping your practice maximize clean-claim rates and improve patient intake efficiency. Let’s connect!
