Philippines Crafted Projects
Medical VA Portfolio
https://calvz007.my.canva.site/Crafted Projects
Medical VA Portfolio
https://calvz007.my.canva.site/Experience
Appointment Scheduler
Help the podiatrists and nurse practitioners manage their calendars by scheduling, canceling, or rescheduling appointments.
Register new patient information to EHR (Tebra) and make sure all information is correct. Also, ask the patient for their active insurance information.
Answer patient inquiries regarding their appointment schedule, office location, accepted insurance, and provider availabilities via call, text, and/or email.
Strictly follow HIPAA guidelines when dealing with patient information and while working remotely.
Forward inbound calls to the right department and maintain professionalism when handling different types of patients/callers.
Appointment Scheduler
Answer the patient inquiries regarding provider availabilities, accepted insurance, etc., mostly via text messaging but also receive a few calls daily.
Matching patients with the right mental health physician. Schedule, cancel, and reschedule appointments for telehealth sessions.
Ensure HIPAA compliance, privacy regulations, and maintenance of patient confidentiality.
Authorization Specialist
Contact insurance to check if the patient's plan is still active, if the provider is in the network, if codes require authorization, ask if documents are required, etc.
Gather documents such as CPAP machine usage data, prescriptions, etc., before submitting an authorization request.
Request prior authorization by calling the patient's insurance, insurance portal or by sending a fax.
Communicate with the other workmates to ensure the authorization request list is done accordingly and efficiently.
Assist the supervisor and other VAs with the process. Extracting patient orders from the CRM to identify which requires verification and/or authorization requests.
Member/Provider Services Rep
Providing health insurance coverage and benefits information to members and providers.
Processing member’s complaints, appeals, and grievances.
Providing claim denials submitted by doctors/hospitals and providing solutions.
Giving instructions to providers on how to submit appeals, authorization requests, submit a claim, and other billing-related processes.
Experience
Appointment Scheduler
Help the podiatrists and nurse practitioners manage their calendars by scheduling, canceling, or rescheduling appointments.
Register new patient information to EHR (Tebra) and make sure all information is correct. Also, ask the patient for their active insurance information.
Answer patient inquiries regarding their appointment schedule, office location, accepted insurance, and provider availabilities via call, text, and/or email.
Strictly follow HIPAA guidelines when dealing with patient information and while working remotely.
Forward inbound calls to the right department and maintain professionalism when handling different types of patients/callers.
Appointment Scheduler
Answer the patient inquiries regarding provider availabilities, accepted insurance, etc., mostly via text messaging but also receive a few calls daily.
Matching patients with the right mental health physician. Schedule, cancel, and reschedule appointments for telehealth sessions.
Ensure HIPAA compliance, privacy regulations, and maintenance of patient confidentiality.
Authorization Specialist
Contact insurance to check if the patient's plan is still active, if the provider is in the network, if codes require authorization, ask if documents are required, etc.
Gather documents such as CPAP machine usage data, prescriptions, etc., before submitting an authorization request.
Request prior authorization by calling the patient's insurance, insurance portal or by sending a fax.
Communicate with the other workmates to ensure the authorization request list is done accordingly and efficiently.
Assist the supervisor and other VAs with the process. Extracting patient orders from the CRM to identify which requires verification and/or authorization requests.
Member/Provider Services Rep
Providing health insurance coverage and benefits information to members and providers.
Processing member’s complaints, appeals, and grievances.
Providing claim denials submitted by doctors/hospitals and providing solutions.
Giving instructions to providers on how to submit appeals, authorization requests, submit a claim, and other billing-related processes.
Education
BS in Computer Science
I did not graduate college because of financial problems but I made sure that I could support my family by working.
Education
BS in Computer Science
I did not graduate college because of financial problems but I made sure that I could support my family by working.
