Medical Virtual Assistant | HIPAA-Compliant and Bookkeeper | Quickbooks Online C

Overview

Looking for full-time work (8 hours/day)

at $5.67/hour ($1,090.91/month)

Bachelors degree

Last Active

June 3rd, 2026 (25 days ago)

Member Since

March 21st, 2026

Profile Description

Senior U.S. Health Benefit Coding Expert | 10+ Years in Plan Implementation

Are you looking for a Subject Matter Expert (SME) who understands the intricate details of U.S. Health Insurance?

With over a decade of high-level experience at Carelon Global Solutions and Accenture, I specialize in the precise coding and implementation of complex U.S. health benefits. I don't just enter data; I ensure that every plan is structured perfectly to prevent claim denials and ensure compliance with U.S. standards.

My Benefit Coding Expertise Includes:
- End-to-End Implementation: Expertly coding U.S.-based health benefits on client systems with a focus on high-precision data integrity.

- Complex Plan Analysis: Specialized in analyzing and translating Summary of Benefits and Coverage (SBC) into system-ready code.

- Systems Mastery: Advanced proficiency in Wellpoint Database, Front Office Benefits System (FOBS), Salesforce, and Citrix environments.

- Global Quality Assurance: I maintain a consistent 100% Quality Standard. As a Lead Auditor, I perform internal and external audits to catch errors before they impact the bottom line.

- SME & Process Training: I have spearheaded international training for offshore associates (India/PH), creating comprehensive job aids and SOPs for complex benefit coding workflows.

Why I Stand Out:

I am a Top Associate of the Year (FY2024) awardee with a "Significantly Exceeds Expectations" rating. My background in Information Technology allows me to build automations that slash Average Handling Time (AHT) while maintaining perfect accuracy in benefit application.

If you need a senior professional who understands the nuances of the U.S. healthcare landscape—from Plan Neptune to complex record updates—I am ready to deliver.

Let’s connect to discuss how I can bring 100% accuracy to your coding operations.