MEDICAL VA (Project Manager/Authorization/ Eligibility Vx)

Overview

Looking for part-time work (4 hours/day)

at $10.00/hour ($880.00/month)

Bachelors degree

Last Active

November 21st, 2024 (today)

Member Since

February 21st, 2022

Profile Description

• Goal oriented 
• Organized and Disciplined 
• Fluent in English
• Great Communication and Social Skills 
• Can multi-task and work under pressure 
• Literacy in MS Word, MS Excel, MS Teams, and Zoho 
• Literacy in several US Medical Software in safely keeping track of patient records such as Brightree, Kinnser/Wellsky and Axxess 
• Master in using Availity, CCX, and other insurance portals (MEDICARE/MEDICAID) 
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EXPERIENCES: 

> PROJECT MANAGER (HOME HEALTHCARE)
- Provides direction and guidance to guarantee that all teaUpgrade to see actual infombers are achieving the targets required by the Accountability Matrix daily basis- Review, validate, document, and provide coaching for valid errors- Conducts 1-on-1 regular coaching to provide employee performance feedback- Ensures accurate and timely communication regarding any client related issues or concerns- Generates accurate and real-time reports to keep the company updated on the teams’ progress- Collaborates with the onshore team and other relevant persons to ensure client expectations are met- Performs weekly team huddles to discuss relevant updates and issues- Hears out and resolve employee concerns or conflicts- Attends client or management conducted meetings as required- Conducts regularization and yearly performance evaluations of teaUpgrade to see actual infombers- Helps Recruitment by performing interviews as needed- Performs Quality Audits, assist the Training team, and aids Operations with production when necessary
>MEDICAL RECORD MANAGEMENT (HOME HEALTH)
 - Faxing / emailing/ assigning home health paperwork (such as physician orders, plan of care, visit evaluations) for hand-delivery for Dr to sign.
 - Reaching out to doctors’ offices or clinics to follow up on the home health Paperwork
- Uploading signed paperwork to EMR 

>INSURANCE ELIGIBILITY VERIFICATION (DME AND HOME HEALTH)
-check patient's coverage for certain services through calling insurances or checking portal. will check in and out of network benefits, co-insurance, out of pocket, deductible, visit limitation and prior authorization requirement
-monthly checking of coverage and benefits extended under the patient’s insurance plan 
- Updating EMR 
- Sending monthly eligibility reports to the client 

> AUTHORIZATION SPECIALIST (DME AND HOME HEALTH)
 - Request authorization for specific discipline either thru the portal or by calling insurance 
- Making follow-up calls to the insurance regularly to check the progress of the authorization requests 
-update EMR for approved request and relay to clinicians as well
- If authorization is denied, we make calls to the patients to inform them about it or file appeal if necessary

>INTAKE SPECIALIST (HOME HEALTH)
- Input patients' information into the EMR system -demographic, PCP info, emergency contacts
- Scan in referral/medical documentation and approved authorization to the Patient’s chart. 
- assigned clinicians for the start of care visit

>Talent Acquisition /admin assistant (BPO setting and HOME HEALTH)
- Entering applicants’ information into the database and updating the
status of their application 
- Initial interview of the applicants
- sending end of day report to upper management 

>General Virtual Assistant (charging e-scooters)
 - Answers customers' inquiries through email regarding how to charge e-scooters and assist with their payment as well for charging the e-scooters. 

>Customer Service Representative (Travel Account)
 - Assist customers with their online bookings for flights and hotels