I aim to establish my reputation as a dependable healthcare billing specialist who delivers precise services to patients and providers through efficient and caring methods. I aim to gain recognition through my work which ensures professional and compassionate management of all claims and patient interactions and correspondence.

Medical Billing & AR Specialist with 5+ years of U.S. healthcare experience in claims follow-up, denial resolution, payer communication, eligibility, appeals, and revenue cycle operations.

Experience includes pediatrics, ambulatory care, home health, infusion-related workflows, and specialty healthcare operations.

Experienced in researching aging, unpaid, denied, and underpaid claims by reviewing claim history, EOBs, payment details, payer requirements, and account documentation to identify reimbursement barriers and determine the appropriate next action.

Core RCM Skills

Medical Billing
Accounts Receivable
Aging Claims Resolution
Claims Follow-Up
Denial Management
Underpayment Research
Eligibility & Benefits Verification
EOB Review
Payer Communication
Appeals Support
Corrected Claims
Provider Billing Support
Quality Auditing
SOP & Workflow Documentation

Recent hands-on pediatric billing experience includes claim preparation, CMS-1500/837 workflows, billing-readiness review, Medicaid-related workflows, payer-specific requirements, and post-billing documentation.

I am a detail-oriented Claims Specialist with experience in reviewing, processing, and resolving insurance claims accurately and efficiently. I ensure compliance with payer guidelines while maintaining clear communication with providers and internal teams to minimize denials and delays. My goal is to support timely reimbursements and deliver high-quality service while protecting data confidentiality and accuracy.

Payments Posting, Insurance verification, claims, eligibility, charges and other stuff of billing

I am a seasoned Medical Biller with proven success in managing production, billing, administrative, and back-office tasks for over 7 years of healthcare experience. I dedicate my skills by helping clients, doctors, and other medical professionals based in the USA to ensure an efficient account receivable follow-up, insurance and benefit verification, accurate processing and transmission of claims, overturning denials into a paid claim, and well-timed collection of payments. Additionally, I’ve gained experience working as an Operations Supervisor dedicated to working administrative tasks such as analyzing denials trend, discussing strategies how to meet monthly cash goal, inventory report, denials management, and many more. That's a bit for my background and with my expertise in healthcare and medical claims, I am excited to bring my skills and discuss what more I can offer to your company.

I’m a highly experienced Medical Virtual Assistant and Healthcare Billing Specialist with 10+ years of experience in healthcare administration, medical billing, insurance claims, patient scheduling, eligibility verification, referrals, and accounts receivable.

I can support your practice with:

• Medical billing and charge entry
• CPT and ICD-10 coding
• Claims submission and follow-up
• Insurance eligibility and benefits verification
• Prior authorization and referral processing
• Denial and appeal follow-up
• AR follow-up and account reconciliation
• EOB review and payment posting
• Patient scheduling and appointment coordination
• Patient and insurance communication
• EHR/EMR data entry and administrative support

Throughout my healthcare career, I have worked with healthcare providers, insurance companies, patients, and clinical teams. I have experience using insurance portals such as Availity and UnitedHealthcare, along with EHR/EMR systems, Google Workspace, QuickBooks, and payment platforms.

I am detail-oriented, organized, dependable, and comfortable working independently with minimal supervision. I understand the importance of accuracy, timely follow-up, HIPAA compliance, and maintaining a positive patient experience.

My goal is to become a reliable extension of your healthcare team—helping reduce your administrative workload, keep your billing and scheduling processes organized, and make sure tasks are completed accurately and on time.

If you are looking for a Medical VA who already understands healthcare workflows and can contribute with minimal training, I’d be happy to support your practice.

Detail-oriented and experienced Medical Billing Specialist with strong knowledge of medical billing, insurance claims processing, payment posting, and accounts receivable management. Skilled in reviewing patient and insurance information, submitting accurate claims, following up on denied or unpaid claims, and resolving billing discrepancies. Proficient in maintaining confidentiality, ensuring billing accuracy, and communicating professionally with patients, healthcare providers, and insurance companies. Dedicated to improving revenue cycle efficiency while providing accurate and timely billing support.

I am a Medical Billing Specialist with 10+ years of total experience in healthcare billing
and insurance claims — including 9+ years handling Philippine medical billing and insurance
(PhilHealth and HMO claims), and 1 year specializing in full-cycle US medical billing as a
Medical Virtual Assistant. In that US-focused year, I personally handled the complete revenue
cycle: eligibility verification, prior authorization, claims submission, denial management,
and accounts receivable follow-up.

This combination gives me a strong foundation in insurance and claims logic from a decade in
the industry, plus direct, current hands-on experience with US payers, US coding conventions,
and US-specific compliance requirements — so I can ramp up fast without a steep learning curve.

My core expertise includes:
• Insurance verification & eligibility checks
• Prior authorization coordination & submission
• Medical coding & charge entry (ICD-10, CPT, HCPCS)
• Claims submission & follow-up (EDI/paper)
• Denial management, appeals & root cause analysis
• Payment posting & patient billing
• AR reporting, aging analysis & performance tracking
• EHR/EMR data entry, scheduling & patient communication (Medical VA support)

I'm experienced with major EMR/EHR systems and billing clearinghouses, including Kareo and Availity. I take a proactive approach to denial prevention — identifying
trends early and working directly with clinical teams to close documentation gaps before
they turn into lost revenue.

Whether you need a dedicated full-time billing specialist, a Medical VA to manage patient-facing
admin and insurance tasks, or someone to clean up a backlogged AR, I bring reliability, attention
to detail, and a results-driven mindset to every engagement.

WHAT I'VE DONE FOR CLIENTS (US practice, Medical VA role)

Denial Reduction for a Private Clinic
Working with a solo physician practice struggling with a high volume of denied claims, I
audited their denial patterns and identified the most common root causes — including missing
prior authorizations and coding mismatches. I restructured their claims review process,
coordinated with the clinical team on documentation standards, and implemented a denial
tracking system. Within a few months, the practice saw a 20–30% reduction in denial rates,
recovering revenue that had previously been written off.

End-to-End Billing Support for a Solo Physician
I managed the full revenue cycle for a solo physician practice — insurance verification,
prior authorization, charge entry, claims submission, payment posting, and patient billing.
Using Kareo as the practice management system and Office Ally/Availity for clearinghouse
submission, I kept AR days low and ensured claims went out clean the first time, giving the
physician full confidence to focus entirely on patient care.

MEDICAL BILLER | REVENUE CYCLE MANAGEMENT SPECIALIST | MEDICAL VA

I am a Medical Billing Specialist with end-to-end experience in U.S. healthcare Revenue Cycle Management (RCM). I have hands-on experience supporting the billing process from charge entry and claim submission through payment posting, denial management, and Accounts Receivable follow-up.

My experience includes:

• End-to-end U.S. medical billing and RCM processes
• Charge entry and claim submission
• Insurance eligibility and benefits verification
• Claim review and billing accuracy checks
• Payment posting and reconciliation
• Denial and rejection management
• AR follow-up and claim status monitoring
• Posting recoupments and adjustments
• Reviewing EOBs/ERAs and identifying payment discrepancies
• Patient account and billing documentation

I am comfortable working with multiple tasks, deadlines, payer requirements, and high-volume claim workloads. I pay close attention to detail because I understand that billing accuracy directly affects reimbursement and the overall revenue cycle.

I am a reliable, organized, and detail-oriented professional who can work independently while maintaining clear communication with clients and tea-----------mbers. I am also willing to learn new software, workflows, and client-specific processes.

What I can bring to your practice:
✔ Strong attention to detail
✔ Knowledge of U.S. medical billing and RCM
✔ High-volume claim processing experience
✔ Accurate payment posting and account review
✔ Denial and AR follow-up skills
✔ Organized documentation and record management
✔ Ability to follow SOPs and payer requirements
✔ Reliable communication and independent work ethic

I am looking for a long-term opportunity where I can use my medical billing and RCM experience to help a healthcare practice maintain clean claims, improve collections, reduce outstanding AR, and keep its billing operations organized and efficient.

As a HIPAA-compliant Healthcare Virtual Assistant with over 5 years of experience supporting healthcare providers, I enjoy helping practices stay organized, improve their workflows, and take care of the insurance-related tasks that can take valuable time away from patient care.

I specialize in insurance eligibility and benefits verification, prior authorizations, claims follow-up, appeals, payer communication, and revenue cycle support. For more than 5 years, I have handled eligibility and benefits verification and prior authorization requests for multiple patients on a daily basis. I’m used to working in a high-volume environment where I need to manage multiple patient accounts, review coverage and benefits, check authorization requirements, follow up on pending requests, and communicate with insurance companies and providers to make sure the necessary information is obtained and documented accurately.

I also have experience reviewing claim issues, working on denials and appeals, coordinating with payers, and following up on outstanding balances and claims. My goal is always to help prevent avoidable delays and denials while making sure insurance and patient information is accurate and up to date.

Over the years, I’ve worked closely with healthcare providers, insurance companies, and patients to answer coverage questions, explain benefits, resolve claim issues, and navigate payer requirements—all while maintaining HIPAA compliance and protecting patient information. I’m comfortable working with multiple healthcare and payer systems, including ASPEN, Revolution EHR, EyeCloud Pro, TriZetto, Availity, UHC, myCGS, and EyeMed.

What I enjoy most is being the reliable support behind the scenes so healthcare professionals can spend more time focusing on their patients. I take pride in being dependable, detail-oriented, proactive, and able to manage multiple tasks while maintaining accuracy.

If you’re looking for a Healthcare Virtual Assistant with strong experience in insurance verification, benefits verification, prior authorizations, claims support, and payer communication, I’d love to connect and see how I can help your practice.

I'm a U.S. healthcare-focused Medical Virtual Assistant with over 3+ years of experience supporting insurance verification, prior authorization, claims/denial resolution, referral management, and EHR chart management for physical therapy and Medicare Part D operations.

Most recently, as a Patient Care Coordinator for a physical therapy and sports performance practice in Texas, I managed the full patient journey from referral to visit — running verification of benefits (VOB) for Medicare, Medicare Advantage, Tricare, Medigap, Humana, Aetna, UnitedHealthcare, and BCBS before the initial evaluation, processing prior authorizations and referrals for PT codes, and tracking every plan of care through signature, coordinating with referring physicians via fax and phone until fully executed. I handled full-cycle intake and scheduling, including OR/ASC pre-op coordination, waitlist and same-day cancellation management, and recall outreach for inactive patients. On the documentation side, I printed, scanned, and uploaded every signed patient document — IDs, insurance eligibility reports, Medicare Secondary Payer forms, direct access disclosures, health history and consent forms — directly into HiBridge (formerly Virtual Sally), including patient-facing video check-ins and virtual intake through the platform, keeping every chart clean, complete, and correctly categorized.

Before that, I supported Medicare Part D (PDP) operations for WellCare Health Plans, a Centene company, in a high-volume, CMS-regulated environment — educating 445,000+ members on formulary tiers and out-of-pocket costs, processing prior authorization and step-therapy exceptions, investigating and resolving denied prescription drug claims down to root cause (billing codes, NPI mismatches, formulary exclusions), and logging 100% of interactions in Salesforce CRM with full HIPAA compliance.

Core skills: Verification of Benefits (VOB) · Prior Authorization · Denial Management & Claims Processing · Referral Management · Plan of Care Tracking & Signature Follow-Up · Patient Intake & Registration · Scheduling & Calendar Management · Document Management & EHR Chart Organization · Inbound/Outbound Patient & Insurance Calls · Patient-Facing Video Calls (HiBridge) · HIPAA Compliance · Revenue Cycle Support

Systems & tools: HiBridge (Virtual Sally), Prompt Health, ModMed EMA, DrChrono, Practice Fusion, SimplePractice, Salesforce CRM, Availity, NaviNet, Optum/UHC Portal, Waystar, pVerify, Cover-----------ds, SRFax, eFax, Updox, RingCentral, Genesys Cloud CX

I'm known for building the systems that keep a practice's workflow from falling behind — including a milestone-based tracker I built for referral and plan-of-care follow-up that kept signed documents from slipping past 30 days. I'm looking for a long-term role where I can bring that same ownership to your insurance verification and EHR operations from day one.

A detail-oriented and motivated Accounting Information System graduate with hands-on experience in QuickBooks, Xero, and Microsoft Excel for financial reporting, bookkeeping, and data entry. Gained practical exposure through an internship in an accounting department, handling client expenses, sales tracking, and financial reports, as well as community service roles in data management and project coordination. Recognized for being organized, trustworthy, and a quick learner, with strong communication and problem-solving skills. Passionate about continuous learning, professional growth, and contributing to efficient financial operations.

I have a strong background that combines clinical review, medical billing, and claims processing. As a Clinical Denial Clinician, I’m skilled at reviewing documentation, understanding clinical criteria, and identifying the real reasons behind denials so I can support accurate reimbursement. My experience as a Medical Biller has made me confident in coding, charge entry, submitting claims, and reconciling payments with accuracy and compliance in mind. Working as a Claims Processor has given me a solid understanding of insurance policies, payer requirements, and the full claims lifecycle, allowing me to handle complex cases efficiently and reduce errors.

I want to be known as someone who is detail-oriented, reliable, and solution-focused. Accuracy and integrity matter to me, and I take pride in communicating clearly and helping improve the financial and operational success of the teams I work with.

Registered Nurse with 11 years of hospital care setting and 4 years Medical Virtual Assistant.
Philippine and US Registered Nurse| Medical VA | Prior Authorization Specialist

I’m an experienced and reliable Medical Billing Specialist working full-time remotely. For almost four years, I’ve supported healthcare providers in five primary care practices/clinics in Connecticut and Florida with end-to-end billing services. I’m HIPAA-trained and understand how to handle PHI securely and responsibly.

I provide support to private physicians and clinics in the following areas:
• Prior Authorization and Insurance Verification
• Charge Entry and Claims Submission
• Denial Management and A/R Follow-Up
• Payment Posting
• Data Entry and Administrative Tasks

I’m proficient with EHR/EMR systems such as eClinicalWorks, NueMD, DrChrono, as well as payer portals like Availity, NaviNet, and Novitasphere. I take pride in being detail-oriented, dependable, and easy to work with.

My goal is to become a long-term part of your team someone you can trust to handle your billing tasks with accuracy and care. Whether it’s checking insurance, getting authorizations, submitting claims, or resolving denials, I’m here to help your practice stay efficient and focused on patient care.

If you’re looking for reliable remote billing support especially for Primary Care Practices/Clinics. I’ve got you covered. Feel free to send me a message here or email me at -----------