Administrative Operations Specialist

Verified

$7/hr

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Outline

Looking for Full-Time work (8 hours/day) at $7/hour

Bachelor's Degree

English proficiency Fluent

Professional Summary

Detail-oriented Administrative and Operations Professional with experience in managing workflows, data entry, and ensuring tasks are completed accurat

Skills & Experience

Skills

Data Entry 2-5 Years

Administrative Support 2-5 Years

Data Verification & Quality Monitoring 2-5 Years

Medical Billing & Claims Management 2-5 Years

Customer Service & Inbound Call Handling 1-2 Years

Experience highlights

Medical Billing Associate (Payment Posting and Denials)

Dominion Revenue Solutions · September/2024 – Present

* Posted and reconciled insurance and patient payments accurately using EOBs and payment reports.
* Reviewed denied claims, identified issues, and prepared claims for resubmission.
* Maintained confidentiality and compliance with HIPAA regulations and company policies.

Medical Biller

Virtual Buddy · June/2024 – Present

* QA and Patient Information and Visits - Verify demographics, insurance and visit details before billing.
* Billing - Submit clean claims and patient statements, ensuring codes are accurate and compliant.
* Denial Management - Review, correct and resubmit denied claims to secure reimbursement.
* Payment Posting - Record and reconcile insurance and patient payments accurately.

Quality Analyst

Virtual Buddy · September/2024 – Present

* Call monitoring and evaluation, listen to outbound calls to assess quality, check adherence to scripts, policies, and compliance guidelines.
* Score calls based on predefined metrics (e.g., accuracy, empathy, resolution time).
* Analyze trends in call performance, customer complaints, and agent productivity.
* Coaching and provide constructive feedback to agents on areas for improvement and tracks KPIs to maintain quality and efficiency.

Back Office (Operations Support)

Virtual Buddy · July/2022 – Present

* Performed administrative tasks including data entry, processing enrollment, updating of customer records, and logging call details for medical insurance services.
* Responding to customer inquiries via emails, chats and texts.
* Answering inquiries about services, checking on previous inquiries and complaints.

Team Lead (Healthcare Insurance Services)

Virtual Buddy · February/2022 – Present

* Ensure agents meet KPIs such as quality, productivity, attendance, and customer satisfaction.
* Provide coaching and feedback sessions to help agents improve.
* Ensure team morale and motivation remain high.
* Ensure agents follow standard procedures and company policies.

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