k*****a

Virtual Medical Assistant
December 24, 1997

About Candidate

Hey, there. Are you looking for someone?

Let me tell you why your search stops here – WITH ME.

 

I am Kimi.

I help healthcare providers ease administrative burdens through digital optimization.

 

I am a HIPAA-certified VIRTUAL MEDICAL ASSISTANT with extensive experience in the following:

Intake of new patients and referrals
Responding to patient questions (inbound call, outbound call, email, fax, etc.)
Appointment scheduling and following up
Email management
Calendar management
Data entry into EMR/EHR systems
Organizing files in the database
Prescription refills
Insurance verification
Submitting prior authorizations

 

I am proficient in using these tools and software:

MS Office
Google Workspace
AdvancedMD
Zendesk
Salesforce
Availity
CareCentrix
CoverMyMeds
SimplePractice
Provider Express
Compass
Athena IDX
Canva
Trello
Notion
Meta Business Suite
LinkedIn
Calendly

 

Now, why should you HIRE me?

Because I am. . .

– Tech-savvy with a proven track record of more than 5 years of combined experience in the healthcare BPO and freelancing industries

– Adept at leveraging a solid foundation in healthcare administration, combined with advanced technological skills, to provide efficient and effective virtual assistance in medical settings

– Possess a comprehensive understanding of medical terminology and administrative processes and a commitment to ensuring the highest standards of patient care

– Willing to learn and be trained

– Passionate about holistic wellness

– Has good character and a positive attitude

 

So, what do you think? 

Could this be a random circumstance? Or could this be fate?

Let me know. 🙂

Location

Education

B
Bachelor of Science in Electrical Engineering 2014 - 2016
Pangasinan State University
B
Bachelor of Arts in Political Science 2019 - 2022
Pamantasan Ng Lungsod Ng Muntinlupa

Work & Experience

V
Virtual Medical Assistant (Scheduler) March 2024 - Present

- I am responsible for administrative duties related to scheduling and facilitating patient care processes. This includes managing the scheduling system and ensuring timely and accurate appointments for patients. Additionally, I handle the distribution of psychological assessment forms to patients, aiding in the preparation of necessary documentation for their appointments. - I actively communicate with healthcare providers via email, inquiring about their availability and coordinating scheduling logistics. This involves sending telehealth appointment links to patients, enabling seamless access to virtual consultations. Furthermore, I diligently confirm appointments with patients, providing them with necessary reminders and ensuring their preparedness for upcoming sessions.

V
Virtual Medical Assistant (Receptionist) February 2024 - Present

- I aid in comprehensive patient documentation, including evaluation reports and revisit notes, adhering to the guidelines set by home health agencies. I ensure the accuracy and completeness of documentation, capturing essential details of patient progress, treatment plans, and therapeutic interventions. I collaborate with the physical therapist to gather necessary information and input it into the electronic health record (EHR) system, maintaining confidentiality and compliance with healthcare regulations. - I support the invoicing process by performing meticulous data entry tasks related to physical therapy sessions, and accurately recording session details, duration, and any applicable charges. I verify billing information for each session, cross-referencing with patient records and treatment plans to ensure accuracy. I collaborate with billing and administrative teams to reconcile any discrepancies and facilitate smooth billing procedures, contributing to efficient revenue cycle management.

S
Senior Process Executive for Medtronic Durable Medical Equipment and Supplies December 2021 - February 2024
Cognizant Technology Solutions

- I assisted 30+ patients daily with end-to-end support on product and service inquiries, providing detailed information on features, pricing, and benefits through inbound calls, outbound calls, and emails. I gave patients order status updates and set proper expectations for the order process. I used strong communication skills to relay complex information to patients, increasing customer satisfaction ratings on NPS and CSAT. - I faxed and electronically requested prescription refills and medical records, decreasing the turnaround time for patients receiving their equipment and supplies. I called physician offices to follow up on the status of the requests, ensuring that they were processed within the expected timeframe. I reviewed and processed over 500 prescriptions, medical records, and laboratory results per week, ensuring 95% accuracy and compliance with regulatory and quality assurance guidelines. I collaborated with healthcare providers to resolve discrepancies or missing information in medical records, resulting in a decrease in rejected claims. - I called and coordinated with insurance companies and pharmacy benefits managers to verify patient insurance benefits, reducing claim denials. I utilized online portals and faxed preauthorizations to insurance companies, ensuring an average turnaround time of 3-5 business days for obtaining necessary approvals. I checked the insurance requirements for patients, accurately determining coverage levels, which decreased out-of-pocket expenses for patients.

C
Customer Service Representative for United Behavioral Health Provider Services January 2020 - December 2021
Optum Global Solutions

- I managed a high volume of incoming phone calls from healthcare providers and their personnel, promptly addressing and resolving credentialing issues to ensure high CSAT and NPS rates. I utilized active listening skills to identify underlying problems with provider enrollment and demographic change requests, resulting in a decrease in processing time for each request. I educated providers on credentialing requirements, turnaround times, and the online submission process for provider enrollment to the insurance company, decreasing enrollment errors and increasing provider satisfaction. - I provided detailed information on contracted rates and CPT codes to providers, leading to a 15% decrease in claim denials and an improvement of 15% in reimbursement accuracy. I assisted providers with requesting rate increases by guiding required documentation and negotiation. I sent digital copies of the contract and other related documents requested by providers and answered any follow-up questions via email. - I handled tickets for initiating claim disputes and followed up on escalated concerns.

S
Sales Associate for AT&T Mobility and Sales July 2018 - April 2019
Concentrix

- I managed a high-value telecommunications account, resolving billing issues for customers, resulting in a decrease in churn rate. I educated customers on how to maximize their plan benefits and features at minimum cost. - I handled troubleshooting for technical issues and encouraged customers to use self-service tools for more personalized solutions while on the go. - I processed customer orders accurately and efficiently, increasing sales of the latest technology products such as smartphones, tablets, and accessories. I offered mobile insurance and other add-ons to cater to different customers’ needs. I developed new strategies to promote fiber internet and satellite TV services to new and existing customers, increasing revenue from service upgrades.

C
Customer Service Representative for UniRush October 2016 - March 2017
FIS Global Solutions

- I assisted customers in creating new accounts, setting up direct deposits, and completing transfers, increasing NPS and CSAT ratings. I handled inquiries about charges, holds, and transactions. - I processed requests for card replacement, demographic changes, and blocking of stolen/lost cards. - I handled possible fraudulent activities reported by customers and escalated those to the internal fraud investigation team for further assistance.

E
Elite English Training Center May 2019 - December 2019
Elite English Training Center

-- I taught Korean students at different proficiency levels and developed customized lessons for ESL, science, and mathematics, increasing student engagement and improvement in test scores. - I tracked and monitored student progress and development, decreasing academic performance gaps among diverse student populations. - I collaborated with a team of educators to assess student learning outcomes and adjust teaching strategies accordingly, increasing overall academic achievement.

Portfolio

Awards

V
Valedictorian 2013 - 2014
High School Valedictorian at Flores National High School

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