About the Candidate
Summary
Dedicated and detail-oriented Medical Virtual Assistant with extensive experience in healthcare support and
customer service. Proficient in insurance verification, pre-authorizations, administrative tasks, and
maintaining patient records in compliance with regulatory standards. Recognized for strong communication
skills, problem-solving abilities, and a commitment to delivering exceptional support in a virtual healthcare
environment.
EXPERIENCE
Global Medical VA, Medical Virtual Assistant / Insurance Verification Specialist / Patient
Records Specialist
July 2023 – October 2024
Daily tasks:
Verified patients’ insurance coverage and eligibility for medical services and procedures,
including those related to infertility treatments and mental health services.
Collaborated with insurance companies to obtain pre-authorizations for necessary treatments
in both infertility clinics and mental health facilities/counseling.
Maintained accurate records of insurance verification activities and updated patient medical
records, ensuring compliance with regulatory standards.
Entered patient data into electronic health record systems, ensuring all entries comply with
privacy regulations and healthcare industry standards.
Managed email correspondence efficiently, prioritizing urgent requests and communications
from patients.
Managed email correspondence, prioritizing and addressing patient inquiries related to
infertility and mental health services promptly.
Oversaw and maintained accurate patient records for both infertility and mental health
services, ensuring compliance with HIPAA and other privacy regulations.
Collaborated with patients’ primary care physicians, specialists, and mental health providers to
ensure comprehensive care and communication.
Managed scheduling and calendar for appointments at both infertility clinics and mental health
facilities, optimizing availability for patients and providers.
Teletech, Member Health Advocate / Customer Service Representative
June 2022 – June 2023
Daily Tasks
• Handled inbound and outbound calls, assisting members with their healthcare inquiries and
concerns.
• Granted pre-authorizations for medical treatments and scheduled appointments with providers.
• Educated members on their healthcare options, ensuring understanding of benefits and
services.
• Collaborated with healthcare providers and insurance companies to resolve claims-related
issues.
• Documented member interactions in the CRM system to track engagement and service quality.
• Conducted follow-up calls to ensure member satisfaction and address outstanding concerns.
Sykes, Health Advocate / Customer Service Representative
November 2020 – May 2022
Daily Tasks
• Managed inbound and outbound calls, providing excellent customer service to members.
• Resolved member concerns related to healthcare providers and service issues.
• Trained new hires on customer service protocols and company policies.
• Coached new hires during their nesting period, ensuring a smooth transition into their roles.
SKILLS
• Problem Solving Skills
• Communication Skills
• Insurance Verification & Pre-Authorizations
• Electronic Health Record (EHR) Management
• Patient Communication & Support
• Compliance with Regulatory Standards
• Problem Solving & Critical Thinking
CERTIFICATIONS
HIPAA: Health Insurance Portability Accountability Act Certification, August 2024
HIPAA Security Awareness: Remote Workspaces, September 2024
Practical Application of HIPAA & Mental Health Ethics for Admin Staff, September 2024
HIPAA Security Awareness: Bring Your Own Device (BYOD), September 2024
EDUCATION
Manila Central University, Bachelor of Science in Nursing Undergraduate, July 2019 – April 2021
Dr. Carlos S. Lanting College, Science, Technology, Engineering, and Mathematics, July 2016 – April 2018
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