Prior authorization, insurance verification,customer service

Overview

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

at $8.12/hour ($1,429.12/month)

Associates degree

Last Active

November 22nd, 2024 (3 days ago)

Member Since

June 12th, 2021

Profile Description

Hello! I'm Upgrade to see actual info, a highly skilled and dedicated Medical Virtual Assistant with a wealth of experience in managing diverse medical administrative tasks. My goal is to provide exceptional support and streamline your healthcare operations, allowing you to focus on delivering outstanding patient care.
What I Offer:
 Prior Authorization for Medications and Treatments:
Weight Loss Medications: Navigating the complexities of prior authorization to ensure timely approval for GLP-1 medications, including:
Zepbound 
Saxenda 
Mounjaro 
Wegovy 
Ozempic 
Contrave 
Biologic Medications: Managing the authorization process for various biologic treatments, including:
Humira 
Enbrel 
Remicade 
Cimzia 
Simponi 
Xeljanz 
Step Therapy Management: Ensuring compliance with step therapy protocols by handling the required documentation and managing alternative treatment options as mandated by insurance providers. ????
Diagnosis-Specific Authorization: Facilitating authorization processes based on specific diagnoses such as rheumatoid arthritis, Crohn's disease, or psoriasis, to ensure appropriate treatment plans and approvals. ????
Genetic Testing: Coordinating the authorization process for genetic tests to facilitate accurate and timely patient diagnosis. ????
???? Insurance Services:
Eligibility and Verification: Efficiently verifying patient insurance eligibility to prevent billing issues and ensure coverage. 
Appeals Management: Crafting compelling appeals and managing the submission process to resolve coverage disputes and denials. 
DME Calls: Handling both inbound and outbound calls related to Durable Medical Equipment (DME), ensuring all requests and inquiries are addressed promptly. ????
Insurance Portals: Utilizing various insurance portals to access, update, and manage patient insurance information, ensuring accurate and timely processing of claims and authorizations. 
Customer Service Excellence:
Patient Support: Providing empathetic and professional assistance to patients, addressing their concerns, and ensuring a positive experience. 
Client Relations: Managing communication with healthcare providers, insurance companies, and other stakeholders with clarity and professionalism. 
Why Choose Me: Expert Knowledge: With a deep understanding of the prior authorization process and up-to-date knowledge of industry regulations, I handle tasks efficiently and accurately.
???? Attention to Detail: My meticulous approach ensures that every aspect of insurance verification, appeals, and patient support is managed with precision.
???? Strong Communication Skills: I excel in clear and effective communication, both written and verbal, to ensure smooth interactions with all parties involved.
Client-Centric Approach: I am dedicated to tailoring my services to meet your unique needs, aiming to enhance your operational efficiency and patient satisfaction.
Additional Benefits:
Time Management: I prioritize tasks effectively to meet deadlines and handle high volumes of work without compromising quality.
Confidentiality: I adhere to strict confidentiality protocols to protect sensitive patient information and ensure compliance with privacy regulations.
???? Proactive Solutions: I anticipate potential issues and address them proactively to prevent disruptions and streamline processes.
With a proven track record of supporting healthcare professionals and patients, I am committed to delivering high-quality administrative support that makes a difference. Let’s collaborate to optimize your medical practice or healthcare service, making your processes smoother and more efficient.
Feel free to reach out to discuss how my expertise can contribute to your success. I look forward to working with you!
Best regards,
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