Healthcare operations professional with 15 years of combined experience, including over 8 years in a U.S. healthcare BPO environment supporting high-volume U.S. healthcare insurance claims and operations. Experienced in healthcare claims review, insurance documentation validation, billing information review, and HIPAA compliance, complemented by 5 years of virtual assistant experience supporting global companies and individual clients remotely. Recognized for consistently meeting quality and productivity targets while ensuring accuracy, confidentiality, and compliance in fast-paced environments. Immediately available and fully remote-ready.
Core Skills
Healthcare Operations & Insurance:
• Healthcare Claims Processing
• Insurance Verification (Eligibility & Benefits)
• Claims Documentation Review
• Supporting Documentation Review
• Claims Data Validation
• Billing Information Verification
• Insurance Documentation Review
• ICD-10, CPT & HCPCS Code Validation
• Healthcare Customer Service
• HIPAA Compliance
• Healthcare Transaction Processing
• Healthcare Documentation Review
Virtual Assistance & Administration:
• Administrative Support
•
• Document & Records Management
• Workflow Coordination
• Research & Reporting
• CRM Data Entry
• Data Accuracy & Quality Assurance
Tools & Platforms
• Microsoft Office (Excel, Word, PowerPoint)
• Google Workspace
• CRM Systems
• Insurance Claims Processing Systems
Experience: Less than 6 months
I assisted members with eligibility and benefits inquiries and reviewed insurance information to support claims processing.
Experience: Less than 6 months
I handled protected health information while consistently following HIPAA regulations and confidentiality standards.
Experience: 10+ years
I use Excel to organize, track, review, and manage healthcare and administrative data efficiently.
Experience: 5 - 10 years
I use Google Docs, Sheets, Drive, and Gmail to collaborate, manage files, and support remote operations.
Experience: 5 - 10 years
I managed administrative tasks, coordinated schedules, and supported daily business operations remotely.
Experience: 5 - 10 years
I managed executive email inboxes.
Experience: 5 - 10 years
I maintained calendars by scheduling meetings and appointments.
Experience: 10+ years
I create, edit, and format professional documents, reports, and correspondence.
Experience: 5 - 10 years
I prepare and edit presentation materials for meetings and reporting purposes.
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
SEE MORE REAL RESULTS“My life has gotten so much better. It changed my life, and I know it can change yours”
- Lukas Rohler
Onlinejobs.ph "ID Proof" indicates if "they are who they say they are".
It DOES NOT indicate skill level.
ID Proof scores are 0 - 99 with 99 being the best. It is calculated based on dozens of data points.
It's intended to help employers know who they're talking to is real, and not a fake identity.