Healthcare VA | Medical Admin & Patient SupportHealthcare VA | Medical Admin & Patient Support
Jeric
$1,200
per month
($7/hour)
Profile Description
Tired of delayed reimbursements, Medicare claim denials, and EHR backlogs slowing down your practice? When your clinical staff spends hours hunting down documentation gaps or appealing denied claims, it hurts your revenue cycle and pulls focus away from patient care. I step in to clean up your backlogs, ensure strict compliance, and get your claims processed fast. How I Help Your Practice: Resolve Claim Denials: I handle complex Medicare appeals (IRF/LTAC) end-to-end so you recover lost reven...
Top Skills
Skills & Expertise
Skill Levels Explained:
💡 Hover over any skill level to see exact years of experience
Virtual Assistance & Admin
Customer Success
Specialized Skills
Work Experience
Medicare Appeals & EHR Specialist – IRF / LTAC Clinical Operations
Unitedhealthcare
Mar 2026 - Mar 2026
Key Achievements:
• Helped multidisciplinary clinical teams solve pre-review administrative bottlenecks by auditing patient intake records and enforcing 100% HIPAA compliance, resulting in audit-ready documentation and zero compliance errors. • Helped healthcare providers solve delayed case turnarounds by processing 40–60 complex Medicare appeal cases daily, resulting in consistently beating strict SLA targets by 20% or average turnaround time. • Helped auditing operations solve data inaccuracy and quality leakage by conducting rigorous documentation reviews, resulting in maintaining a 100% Quality Score across high-volume workflows.
Medicare Appeals & Denial Management Specialist – EHR Documentation
Unitedhealthcare
Oct 2025 - Feb 2026
Key Achievements:
• Helped insurance & clinical care teams solve appeal determination delays by identifying documentation gaps and communicating directly via secure EHR/e-fax, resulting in eliminated intake errors and accelerated appeal resolution times by 10% • Helped healthcare facilities solve claim processing backlogs by evaluating 40–60 Medicare appeal cases daily, resulting in a recovered revenue total of 30% • Helped legal & operations departments solve regulatory non-compliance risks by enforcing strict HIPAA, QIO review, and DENC standards, resulting in 100% audit compliance on high-volume appeal notifications.
Clinical EHR Audit & Data Coordinator – EMR Validation
Unitedhealthcare
Oct 2021 - Oct 2025
Key Achievements:
• Helped physician networks solve delayed clinical evaluations by systematically detecting and resolving missing or conflicting patient data prior to review, resulting in an improved case documentation quality rate of 100% • Helped inpatient units solve chart errors across thousands of patient records by executing rigorous EMR/EHR audits, resulting in zero pre-evaluation error leakage and higher data accuracy. • Helped external healthcare facilities solve administrative backlogs by driving cross-functional communication for patient status updates, resulting in reduced administrative turnaround times by 10%
Order Management Officer
TSA Group Australia
May 2018 - May 2019
Key Achievements:
• Processed 50+ telecommunications service orders daily while maintaining high accuracy. • Reviewed customer information before order submission, minimizing processing errors and rework. • Coordinated with internal departments to resolve order discrepancies and support timely service activation. • Maintained accurate customer records for billing and reporting purposes.
Business Process Associate Senior III
ADEC Innovations, Inc.
Apr 2016 - May 2018
Key Achievements:
• Helped title and escrow clients maintain accurate documentation by processing high-volume records according to established procedures. • Supported audit readiness by maintaining organized and accurate records. • Consistently met productivity targets while working under tight deadlines. • Maintained data confidentiality and document accuracy throughout all processes.
Quick Stats
Certifications
Education
Associate's Degree
AMA Computer College
2011 - 2013