Shirley
Medical VA/ Medical Billing/ General VA
Verified
With Timeproof
Overview
Looking for full-time work (8 hours/day)
at $6.90/hour ($1,214.40/month)
Bachelors degree
Last Active
November 28th, 2024 (yesterday)
Member Since
May 2nd, 2024
Profile Description
I am a healthcare professional who is HIPAA certified and with over 7+ years of experience in the medical field. I have championed my customer service skills and have gathered extensive knowledge in medical terminology, procedures and software systems. I have a strong organizational, communication and problem-solving skills which was proven by accomplishing in clearing 7,000 pending enrollment applications, member grievances and appeals requests for 2 big corporations - Express Scripts and Ochsner Health Plan.
I had worked with prominent and recognized healthcare insurances in my 7+ years of tenure and have been assigned in claims processing, grievance reviews, Medicare enrollment and Medical billing. Whether you are trying to get help with an administrative or clerical tasks, credentialing, claim processing or patient scheduling and handling HIPAA protected information, I am the man for the job.
I am fully committed once I start working on projects. I value relationships and is a firm believer that communication is always the key to success. I have provided a summary of what I can do on my bio but I would still love to discuss with you what I can bring in to the table to reach the goal of your organization.
Top Skills
Customer Support » Insurance » Medical Insurance
Experience: 5 - 10 years
I have worked both as customer service support and Appeals and Grievance coordinator responsible for managing appeals for denied claims received from both in and out of network plan providers. I review clinical documents and prior authorization requests then communicate my reviews with the stakeholders for appropriate billing and payment. I also handle member grievances by investigating on complaints and coordinating resolution efforts ensuring these resolutions are in compliance with Medicare policies and regulations
Customer Support » Customer Service
Experience: 10+ years
I have 11 years of customer service experience with 4 years working for JP Morgan and Chase and 7 years working in a healthcare space.
Office and Administration » Team Leadership
Experience: 1 - 2 years
I have coached, mentored and develop agents by providing career development planning and opportunities and empower agents to take responsibility of their own goals. I am adept in providing performance feedback and impose disciplinary actions. I also take escalated calls to ensure our member's concern are addressed and resolved.
Other Skills
Office and Administration » Calendar Management » Scheduling
Experience: 5 - 10 years
I have worked as a virtual assistant for an entrepreneur with a start-up online site. I normally assist him in managing his schedules, keeping track of meeting that he have scheduled for the day and making sure all of his appointments are in his calendar.
Customer Support » Insurance » Insurance Verification
Experience: 5 - 10 years
I handle both outbound and inbound insurance verification for members and providers, updating information on member's records to ensure appropriate payment and claim filing.
Basic Information
- Age
- 37
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Lapu-Lapu, Cebu
- Tests Taken
- IQ
- Score: 121
- DISC
- Dominance: 49
- Influence: 17
- Steadiness: 28
- Compliance: 6
- English
- C1(Advanced)
- Government ID
- Sign Up with Pro Account to View
“I have one of the best VAs I've had in a long time...she's been amazing”
Davonna Willis
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