Manila, Capital District, Metro Manila, Philippines
Member Since 2024
Photo

Jay-ar Juria

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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