Compassionate healthcare professional with a strong
background in patient support, medical billing, insurance
verification, and pre-authorizations. Skilled in problem-solving
and streamlining healthcare processes to ensure positive
patient outcomes. Known for delivering high-quality service
and maintaining accurate medical records. Eager to bring my
expertise and dedication to a team focused on making a
meaningful impact.
Experience: 5 - 10 years
I have strong experience in data entry, particularly in the healthcare setting, where accuracy and attention to detail are critical. My responsibilities included entering patient demographics, insurance details, billing information, and clinical data into EMR systems and payer portals. I consistently maintained a high level of accuracy while working with large volumes of data under tight deadlines. I am proficient in using tools like Excel, Google Sheets, and various healthcare platforms to organize, update, and manage records efficiently. My ability to spot errors and ensure data integrity has supported smooth administrative and billing operations across the practices I've worked with.
Experience: 5 - 10 years
Experience: 5 - 10 years
I have extensive experience in email management, particularly in a healthcare virtual support setting where timely and organized communication is essential. I handled high volumes of emails daily, including patient inquiries, provider coordination, insurance follow-ups, and internal updates. My responsibilities included categorizing and prioritizing emails, responding promptly and professionally, forwarding messages to the appropriate team members, and ensuring no critical communication was missed. I utilized tools like Gmail, Outlook, and CRM platforms to streamline workflows and maintain clear records of all correspondence. This helped improve response times, reduce delays in processing requests, and maintain effective communication across teams.
Experience: 2 - 5 years
I have extensive experience as a medical biller, handling end-to-end billing processes for U.S.-based healthcare providers. My responsibilities included verifying patient insurance coverage, submitting accurate claims to both private and government payers, and following up on unpaid or denied claims to ensure timely reimbursement. I regularly reviewed EOBs (Explanation of Benefits), posted payments, and managed account reconciliations to maintain clean aging reports. I also worked closely with providers, patients, and insurance companies to resolve billing discrepancies, process appeals, and ensure compliance with HIPAA and payer-specific guidelines. My attention to detail and strong understanding of the revenue cycle helped reduce claim rejections and improve collection rates.
Experience: 2 - 5 years
I have solid experience in Revenue Cycle Management (RCM), supporting U.S.-based healthcare practices by overseeing the complete process from patient registration to final payment. My responsibilities have included verifying insurance eligibility, obtaining prior authorizations, accurate charge entry, timely claims submission, and payment posting. I have managed claim denials and appeals, worked on aging reports, and coordinated with payers and patients to resolve billing issues and ensure proper reimbursement. I’ve also handled patient collections and supported credentialing processes to maintain provider network participation. My RCM experience has helped improve cash flow, reduce days in A/R, and streamline the overall billing cycle for the practices I’ve supported.
Experience: 2 - 5 years
I have solid experience in Revenue Cycle Management (RCM), supporting U.S.-based healthcare practices by overseeing the complete process from patient registration to final payment. My responsibilities have included verifying insurance eligibility, obtaining prior authorizations, accurate charge entry, timely claims submission, and payment posting. I have managed claim denials and appeals, worked on aging reports, and coordinated with payers and patients to resolve billing issues and ensure proper reimbursement. I’ve also handled patient collections and supported credentialing processes to maintain provider network participation. My RCM experience has helped improve cash flow, reduce days in A/R, and streamline the overall billing cycle for the practices I’ve supported.
Experience: 1 - 2 years
I have hands-on experience in provider credentialing for U.S.-based healthcare professionals, ensuring they are properly enrolled with insurance payers and meet compliance requirements. My role involved preparing and submitting credentialing and re-credentialing applications, maintaining up-to-date provider files, and tracking application statuses through various payer portals. I regularly coordinated with insurance companies, providers, and credentialing departments to resolve discrepancies and expedite approvals. I also managed CAQH profiles, gathered required documentation, and ensured timely renewals to avoid interruptions in billing or network participation. My attention to detail and follow-through have helped streamline the credentialing process and support uninterrupted practice operations.
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
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