Healthcare VA | Customer support Specialist | Medical Billing | Canva Editing |

Healthcare professional with 3+ years of experience in medical billing, prior authorizations, and verifying patient eligibility and benefits, ensuring accurate claims processing, timely approvals, and exceptional patient support.

Provided customer support to patients and clients regarding medical insurance coverage, claims, billing, and benefits. Assisted members with policy inquiries, eligibility verification, and explanation of insurance plans. Resolved claim issues, denials, and payment concerns in a timely and professional manner. Coordinated with healthcare providers and insurance companies to process authorizations and approvals. Updated customer accounts, maintained accurate records, and ensured data confidentiality. Handled inbound and outbound calls, emails, and chat support while maintaining high service standards. Educated customers on benefits, coverage options, and claim procedures to improve satisfaction. Maintained compliance with healthcare regulations, privacy policies, and company procedures.

Processed medical claims accurately and submitted billing information to insurance providers in a timely manner. Verified patient insurance eligibility, benefits, and coverage prior to billing services. Reviewed and corrected claim errors to reduce denials and delays in reimbursement. Followed up on unpaid claims, rejected claims, and outstanding balances with insurance companies. Posted payments, adjustments, and reconciled accounts receivable records. Assisted patients with billing inquiries, payment plans, and explanation of charges. Maintained accurate patient billing records while ensuring HIPAA and healthcare compliance. Collaborated with providers and administrative staff to improve billing efficiency and cash flow.

Utilized Microsoft Excel to organize, track, and manage data accurately. Created spreadsheets, reports, and dashboards for daily operations and performance monitoring. Used formulas, filters, sorting, and conditional formatting to analyze and present data efficiently.

Creative and detail-oriented Canva Editor with experience designing professional graphics, social media content, presentations, marketing materials, and branded visuals. Skilled in creating eye-catching layouts, editing templates, managing brand consistency, and delivering high-quality designs on time.

Bilingual professional with intermediate Spanish proficiency (7/10), capable of communicating effectively with Spanish-speaking clients and customers in professional settings.