Medical Billing Specialist | Medical Virtual Assistant | Insurance Verification/Prior Authorization

Verified

$5/hr

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Outline

Looking for Full-Time work (8 hours/day) at $5/hour

Bachelor's Degree

English proficiency Fluent

Professional Summary

Revenue Cycle Management Specialist with over 4 years of experience supporting U.S. healthcare practices. Strong expertise in insurance eligibility and benefits verification, prior authorizations, referrals, claims processing, denial and appeals management, payment posting, EOB/ERA reconciliation, and A/R follow-up.

Known for strong attention to detail, problem-solving, and the ability to independently resolve complex billing and insurance issues. Experienced in working with Medicare, Medicaid, and commercial payers while communicating professionally with providers, insurance representatives, and patients. Proficient in multiple EHR, practice management, and payer systems, with a strong focus on claim accuracy, timely reimbursement, and efficient revenue cycle operations.

Skills & Experience

Skills

Accounting > Claims Processing 2-5 Years

Professional Services > Medical Services > Revenue Cycle Management 2-5 Years

2-5 Years

HIPAA Compliance 2-5 Years

eClinicalWorks 1-2 Years

Accounting > Accounts Payable > Accounts Receivable 2-5 Years

Experience highlights

Insurance Eligibility/ Prior Authorization Specialist

Agility- Spine and Medicine Surgery · April/2025 – Present

Verified U.S. patient insurance eligibility, active coverage, deductibles, copays, coinsurance, out-of-pocket maximums. Used payer websites and phone calls to confirm benefits and determine prior authorization requirements. Documented verification details and maintained HIPAA compliance.

Accounts Receivable Specialist

Irvine Dermatology · November/2023 – Present

Processed and submitted medical claims to Medicare, Medicaid, and commercial insurance payers. Performed charge entry and accurate coding. Followed up on unpaid and denied claims to maximize reimbursement. Reviewed A/R reports and conducted collection activities.

Insurance Eligibility/ Prior Authorization Specialist

Blue Rock Senior Living · February/2022 – Present

Verified patient insurance eligibility and benefits including deductibles, copays, coinsurance, out-of-pocket maximums. Used insurance payer portals and contacted insurance companies to confirm benefits and prior authorization requirements. Maintained HIPAA compliance.

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