Medical Virtual Assistant

Ability to check the eligibility and coverage of the procedures/treatment/surgery of the patient. Analyze the utilization of the patient and check the shedule of benefits during inquiry of the patient.

Assess the diagnosis and procedures/surgeries requested by the doctor. Ability to assist the concerns of the patient thru call, email and text. Evaluate the coverage of certain procedures of the patient. Explain the denied transaction of the patient. Ability to coordinate the admission of patients to our liaison officer. Practice confidentiality and privacy. Approve procedures/tests of coverable cases.

Check the dental coverage and eligibility of the patient. Provide dental approval to the staff of the dental clinics. Able to explain the non-coverable dental procedures/treatment.

Assess and monitor the patient's condition. Educating the patients and family members on treatment regimen. Assisting patient's concern. Record personal details, history taking and vital signs checking. Able to provide the needs of the patient. Help perform procedures for the healing and recovery of the patient.

Expose to medical facility, healthcare insurance company and pharmacy. Learn and apply the foundation of nursing, medicines; and medical procedures, surgeries , treatment and terminologies.

Do the charge entry and ensure timely submission of claims to the insurance company. Interpret and review EOB and investigate any discrepany. Identify trends of denial and notify the supervisor to avoid further delay of payment in the future. Follow-up for outstanding payment. Check all the rejected/denied claims and provide resolution.