Executive Admin Support | Virtual Assistant | Healthcare VA

Overview

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

at $1.12/hour ($98.56/month)

Associates degree

Last Active

January 19th, 2025 (9 days ago)

Member Since

April 29th, 2019

Profile Description

I am a dedicated and
detail-oriented Performance Quality Auditor with nearly 5 years of experience
in the BPO healthcare sector. My role has involved ensuring the highest
standards of quality and compliance in interactions with providers, members,
and brokers. I have a strong background in assisting with eligibility,
benefits, authorization, claims, and appeals, which has equipped me with a
comprehensive understanding of healthcare processes and regulations.
Experience
Performance
Quality Auditing:
I have conducted thorough audits to ensure compliance with company
policies and industry standards. My focus has been on identifying areas
for improvement and implementing corrective actions to enhance service
quality.
Provider,
Member, and Broker Support: I have handled complex inquiries and issues from
providers, members, and brokers, ensuring accurate and timely resolutions.
My role has required excellent communication and problem-solving skills to
maintain high levels of satisfaction.
Eligibility
and Benefits: I
have assisted with verifying eligibility and benefits for members,
ensuring they receive the appropriate coverage and services. This has
involved detailed knowledge of healthcare plans and policies.
Authorization
and Claims: My
experience includes managing authorization requests and processing claims.
I have ensured that all claims are handled efficiently and accurately,
reducing errors and improving turnaround times.
Appeals
Management: I
have been involved in the appeals process, reviewing and resolving appeals
to ensure fair and compliant outcomes. My attention to detail and
analytical skills have been crucial in this role.
Continuous
Improvement: I
am committed to continuous improvement and have participated in various
quality improvement initiatives. My goal is to enhance operational
efficiency and service quality through data-driven insights and best
practices.
I am passionate
about leveraging my experience and skills to contribute to a healthcare
organization that values quality, compliance, and exceptional service. My
dedication to maintaining high standards and my ability to handle complex tasks
make me a valuable asset to any team.