Customer Service Team Leader with over 2 years of experience in healthcare and insurance claims, skilled in managing teams, handling inbound and outbound calls, and delivering reliable support in fast-paced environments. I’ve also worked as a Real Estate ISA, appointment setter, and sales representative, with strong experience in client communication and lead handling, along with a background in data entry and analysis to ensure accuracy and efficiency. I’m dependable, detail-oriented, and focused on delivering results while continuously improving my skills. Let’s work together to take your business to the next level!

Knowledgeable in US Healthcare insurance.
Experienced in verifying healthcare benefits, claims and prior authorization.
I want to be known as a hard worker who always gives 110%, even when there may be nothing else to give.

Hi! I’m -----------, a detail-oriented and reliable Virtual Assistant specializing in Healthcare Support, Shopify Store Management, and Xero Bookkeeping. I help business owners and medical professionals keep their operations running smoothly—whether it’s supporting patient care tasks, managing an online store, or keeping finances accurate and up to date.
Healthcare Virtual Assistant-Experience in a healthcare account handling both member and provider support-Skilled in managing patient inquiries, claims, and billing-related concerns-Knowledgeable in maintaining accurate records and HIPAA-compliant support-Organized, empathetic, and solution-driven when assisting patients and providers
Shopify Virtual Assistant-Product listing & variant setup (clean titles, descriptions, images, pricing)-Organizing collections & categories for a professional, user-friendly store-Setting up discount codes, promotions, and store optimization-Order tracking, admin support, and ensuring smooth backend operations
Bookkeeping (Xero)-Recording daily transactions and expenses-Reconciling accounts (Bank, Credit Card, Stripe, PayPal, etc.)-Preparing clear, accurate financial reports-Organizing invoices and receipts
I make sure tasks aren’t just done—but done right—so you can save time, reduce errors, and focus on growing your business.
If you’re looking for a VA who can handle healthcare tasks, manage your Shopify store, and keep your books in order, I’d love to help you succeed.

Title: Medical Billing Assistant
Company: NEW U THERAPY CENTER AND FAMILY SERVICES, INC.
Summary
Leadership: Directly monitor division tea-----------mbers to ensure adherence to the latest operational procedures and federal compliance regulations.
Revenue Operations: Streamline patient insurance verification and prior-authorization workflows to ensure uninterrupted service delivery.
Claims Recovery: Drive A/R efficiency by investigating claim statuses and spearheading the submission of technical appeals and reconsiderations.

Title: MEDICAL BILLER WORKERS COMPENSATION
Company : ASC STRATEGIC REVENUE SOLUTIONS, INC
Summary
Workers' Compensation Specialist: Managed specialized Workers' Compensation claims, ensuring all required documentation and state-specific filing requirements were met to secure payment.
A/R Optimization: Performed high-volume outreach to insurance carriers to track claim outcomes and resolve outstanding balances.
Denied Claims Management: Escalated incorrectly denied claims through rigorous appeal and reconsideration processes to ensure full reimbursement for services rendered.

Title: Customer Service Advocate
Company: Concentrix/ Aetna Insurance
Summary
Benefit Administration: Provided expert customer service by educating patients on their specific insurance benefits and coverage.
Provider Credentialing: Monitored the status of provider credentialing applications to ensure network compliance and accuracy.

Title: TECHNICAL SUPPORT | CUSTOMER SERVICE
Company : SUTHERLAND GLOBAL SERVICES
Summary
Software Troubleshooting: Delivered technical support for software installation and feature navigation to help customers maximize product utility.
Customer Retention: Provided high-quality service to a diverse customer base, resolving technical and account-related inquiries efficiently.

I am a reliable and detail-oriented Healthcare Virtual Assistant from the Philippines with several years of experience in prior authorization, insurance verification, medical data entry, and administrative support.

My experience includes processing prior authorization requests, verifying patient insurance eligibility and benefits, reviewing medical documentation, maintaining accurate records, and communicating with healthcare providers and insurance companies to ensure timely approvals.

I am highly organized, able to manage multiple tasks efficiently, and committed to accuracy, confidentiality, and meeting deadlines. I am proficient in Microsoft Office, Google Workspace, and online administrative systems.

In addition to my healthcare experience, I am continuously expanding my skills in bookkeeping, QuickBooks Online, and e-commerce support to provide even greater value to clients.

I am looking for a long-term opportunity where I can contribute to your business through dependable, accurate, and professional virtual assistance.

Key Responsibilities & Achievements:

Processed and reviewed healthcare claims to ensure accuracy, completeness, and compliance with payer and client requirements.

Conducted medical claims data validation by verifying member demographics, eligibility, provider information, diagnosis codes, and claim details before adjudication.

Handled patient and insurance data processing while maintaining strict adherence to HIPAA regulations and healthcare privacy standards.

Investigated and resolved claim-related inquiries, including denied, rejected, pending, and underpaid claims.

Coordinated with insurance payers, providers, and internal departments to facilitate claim resolution and reimbursement processing.

Performed claims accuracy reviews to identify discrepancies, data entry errors, and missing documentation that could impact reimbursement.

Supported reimbursement activities by monitoring claim status, payment processing, and benefit determination.
Assisted in reducing claim rejections through thorough documentation review, data verification, and proactive issue identification.

Managed claim escalations and complex cases requiring detailed research and cross-functional collaboration.
Maintained accurate healthcare documentation, case notes, and tracking records within designated systems.
Generated reports and analyzed claim trends to support operational improvements and quality assurance initiatives.

Participated in process improvement efforts that enhanced claims processing efficiency, turnaround time, and customer satisfaction.
Ensured compliance with healthcare regulations, payer guidelines, company policies, and HIPAA requirements.


Tools & Systems Used
Claims Management Systems
Electronic Health Records (EHR/EMR)
Healthcare Eligibility and Benefits Platforms
CRM Systems
Microsoft Excel (Data Validation, Reporting, Tracking)
Microsoft Office Suite
Internal Claims Processing and Case Management Tools

Hi, I’m Mariel. I’m a results-driven and passionate professional committed to helping businesses grow and achieve their goals. With experience in both inbound and outbound calls as a customer service representative, I have a proven track record of exceeding targets, ensuring data accuracy, maintaining client confidentiality, and utilizing strong communication and critical thinking skills. My proficiency in computer literacy, combined with my unique blend of soft skills and industry-specific knowledge, makes me a valuable asset to your company. Over the past three years in the BPO sector, I consistently delivered high performance, demonstrating my dedication to excellence in every task. My experience highlights my passion for helping clients, addressing their concerns, and delivering exceptional results. I’m eager to bring my adaptability, dedication, and enthusiasm to contribute to the success of the team and organization.

Hello there! I'm Izzy and I am an experienced Medical Virtual Assistant supporting U.S. healthcare providers in OB-GYN and Urology practices.

Throughout my experience, I have provided consistent administrative and patient care support in fast-paced clinical settings. I have handled inbound and outbound calls, scheduled, rescheduled, and confirmed patient appointments. I am experienced in preparing and maintaining accurate patient charts, verifying demographics, insurance, pharmacy information, and the validity of their referrals.

I am proficient in eClinicalWorks and skilled in managing EMR documentation, uploading and organizing patient records, handling email, voicemail, and fax inboxes while maintaining strict HIPAA compliance. I have also coordinated patient communication regarding referrals, lab orders, and new patient paperwork, and followed up with no-shows and canceled appointments to maintain schedule efficiency.

In addition, I have worked closely with providers and onsite medical assistants to support daily administrative needs, and I have trained floaters and newly hired Virtual Assistants on VA standard workflows in OB-GYN.

I am detail-oriented, reliable, and comfortable working independently in a virtual environment. I take pride in providing professional, compassionate support to both patients and providers.

Struggling with high call volumes, frustrated customers, or a messy CRM? I turn chaos into calm — with 5+ years of experience delivering fast, accurate, and friendly support across Voice and Live Chat channels.
I'm a dedicated Customer Support Professional and Virtual Assistant specializing in high-volume voice support and inbound call handling, with a proven track record in the healthcare and telecommunications industries. I hold a HIPAA certification, ensuring safe and compliant handling of sensitive patient data, along with a Google AI Essentials certification and a TEFL certification, reflecting my adaptability and strong communication skills. I've also completed Shopify Academy training, giving me hands-on knowledge of e-commerce store management, product listings, and order fulfillment.
Core Competencies:
Voice Support: Expert in handling inbound calls, member verification, and complex problem resolution.
Administrative Support: Keeping businesses organized through data management, scheduling, and spreadsheet tools — including building trackers in Excel with automated dropdowns and color-coded status tracking.
CRM Management: Proficient in Salesforce, Oracle Siebel, and Amazon Connect.
E-commerce & Shopify: Shopify Academy certified, with practical experience managing product catalogs, discount codes, and customer service workflows.
Live Chat: 6 months of experience providing real-time solutions via digital chat platforms.
Certifications: HIPAA, Google AI Essentials, TEFL, Shopify Academy.
I'm committed to helping businesses grow by delivering reliable, high-quality support and building lasting customer relationships.

Highly motivated and detail-oriented professional with over three years of experience in customer service, patient care coordination, and provider enrollment. Skilled in managing healthcare data, scheduling appointments, handling confidential documents, and ensuring compliance with insurance requirements. Adept at building strong relationships with patients, providers, and payors through clear communication and efficient problem-solving.Proven ability to work independently and collaboratively in fast-paced environments, with strong organizational skills and a keen eye for detail. Experienced in claims management, benefits verification, and healthcare enrollment processes. Passionate about delivering excellent service and contributing to operational efficiency in the healthcare and customer service sectors.

Adaptable to new concepts and responsibilities. Proficient in handling patients account both in electronic health records and medical records with extreme confidentiality. Able to communicate affectively through written along with oral forms. an inventive, active learner and possess leadership ability needed to obtain by organization and competent to conserve client relationship management.

Hello,

My name is Elizabeth, and I am a highly motivated, results-oriented sales professional with nearly three years of specialized experience in healthcare insurance. Over the course of my career, I have consistently surpassed sales targets and KPIs, demonstrating my ability to close high-value deals while maintaining an unwavering focus on customer satisfaction.

I have developed a strong expertise in navigating complex healthcare plans, customizing solutions that align perfectly with each client’s unique needs. This personalized approach has led to impressive client retention rates and a steady stream of referrals from satisfied customers. I excel at breaking down intricate options in an accessible and transparent manner, ensuring clients not only receive the best possible coverage but also feel confident in their decisions.

Beyond my sales achievements, I take great pride in cultivating long-term, trust-based relationships with clients. My dedication to fostering loyalty is reflected in every interaction, whether I’m guiding clients through the enrollment process or proactively following up to ensure ongoing satisfaction. Each step is an opportunity for me to provide exceptional service and strengthen the customer experience, contributing to a solid and trusted brand reputation.

I am excited to leverage my proven success in healthcare insurance sales, my deep relationship-building skills, and my passion for delivering personalized solutions to help individuals and families secure the coverage they need. I look forward to the opportunity to contribute to your team’s growth and continued success.

I’m an Administrative and Operations Support Professional who thrives on creating structure, improving efficiency, and helping teams perform at their best. With experience in business operations, healthcare claims, provider relations, customer service, and team coordination, I bring a strong combination of organization, problem-solving, and attention to detail.

Throughout my career, I’ve supported critical business functions, managed complex processes, coordinated with cross-functional teams, and ensured smooth day-to-day operations. Whether it’s streamlining workflows, managing documentation, tracking performance, or supporting providers and clients, I focus on delivering accurate, reliable, and results-driven support.

I’m passionate about helping businesses stay organized, operate efficiently, and provide exceptional service. Known for my professionalism, adaptability, and proactive approach, I take pride in being a dependable partner who gets things done and contributes to meaningful outcomes.

Medical Virtual Assistant

I am a Philippine Registered Nurse with 2 years of hospital experience in high-pressure maternal, child care, and perioperative units. I bring real clinical context, medical knowledge, and an understanding of healthcare urgency to the remote operations space.

I help medical organizations and clinic owners optimize their workflows, ensure clear and accurate charting, and maintain compliance.

Here is exactly how I support your operations:

> EMR & Documentation: I manage Electronic Medical Records with the precision of a trained nurse, ensuring accurate, clinical-grade documentation without the hand-holding. Rock-Solid Compliance: I am 100% HIPAA-certified.

> Clinical Administration & Assessments: I know how to review patient data, track assessments, and coordinate care plans seamlessly because I’ve done it firsthand in fast-paced hospital units.

> Adaptability: From patient triaging to surgical pre-ops, I thrive in fast-moving environments and easily adapt to your clinic’s specific protocols or technical platforms.

> Care Coordination & Communication: Handle professional outreach to patients, providers, and insurance companies to keep daily clinical operations running smoothly.


Let me handle the clinical operations and heavy lifting so we can focus together on what matters most: delivering exceptional patient care!

I'm excited to bring my clinical background to your team!
Send me a message directly through my OnlineJobs.ph profile, or email me at ----------- to discuss how we can work together.