Healthcare Operations & Virtual Support Specialist

Verified

$6/hr

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Outline

Looking for Freelance work (8 hours/day) at $6/hour

Associate Degree

English proficiency Conversational

Professional Summary

I am an experienced healthcare professional specializing in customer care, transaction quality assurance, and medical virtual assistance.

Skills & Experience

Skills

Attention to detail 10+ Years

Problem solving skill 10+ Years

Strong communication and interpersonal skills, with the ability to explain technical concepts to non-technical users. 10+ Years

Communication skill, Medical Billing and Coding, Adaptability and Flexibility, Customer Service Excellence 10+ Years

• Familiarity with platforms like LEAP (Legal Practice Management Software), or Microsoft Office for efficient workflow management. 10+ Years

Experience highlights

Medical Virtual Assistant

Freelancer Medical Virtual Assistant · May/2023 – Present

Reviewing and submitting medical claims to insurance companies.
Following up on claims that are unpaid, denied, or need corrections.
Posting payments received from insurance and patients.
Contacting insurance companies and patients to check the status of claims or collect outstanding balances.
Handling billing issues related to copays, deductibles, and self-pay amounts.
Managing Accounts Receivable (AR) to make sure the clinic gets paid on time.
Keeping records accurate and making sure all

Transaction Quality Assurance Senior Associate

NTT - BCBSRI · June/2022 – Present

Perform transactional quality audit based on predefined audit parameters.
Facilitates process improvement meetings along with respective team in a domain to achieve the desired results.
Classify errors based on the type of the error and can assign root causes for errors.

: Customer Care Senior Associate

NTT - BCBSRI · June/2013 – Present

Answering calls and/or messages from providers.
Helping with questions about insurance coverage, benefits, prior authorization/referral and claims
Explaining medical bills, copays, deductibles, and payment options
Assisting with appointment scheduling, authorizations, or referrals (if required)
Providing updates on claim status or account balances.
Handling complaints or issues and ensuring they are resolved properly.
Following HIPAA guidelines to protect patient information.

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