US Healthcare Virtual AssistantUS Healthcare Virtual Assistant
Kylle
ID Verified$100
per month
($1/hour)
Profile Description
US Healthcare Virtual Assistant with 4+ years supporting providers, pharmacies, and PBM operations. Skilled in EMR workflows, prior authorizations, medication refills, and HIPAA- compliant case management. Proven ability to streamline administrative workflows, meet SLA/KPI targets, and enhance patient outcomes in high-volume US healthcare environments.
Skills & Expertise
Skill Levels Explained:
💡 Hover over any skill level to see exact years of experience
Customer Success
Virtual Assistance & Admin
Specialized Skills
Work Experience
Healthcare Customer Service Advocate / Clinical Admin Coordinator
Optum Global Solutions
Sep 2021 - Feb 2026
Job Responsibilities:
• Managed 50+ prior authorization requests weekly, ensuring accuracy and timely submission to payers. • Handled pharmacy and PBM inquiries: performed formulary checks, coordinated refills, and liaised with prescribers to prevent therapy gaps. • Investigated claim denials and billing discrepancies; prepared appeals and escalated complex cases for resolution. • Updated patient records and documented...
Customer Service Representative
FIS Global Solutions
Nov 2019 - Jun 2021
Job Responsibilities:
Handled high-volume inbound calls for U.S. customers regarding billing, disputes, and fraud investigations. • Collaborated with cross-functional teams to resolve escalations and update CRM case records accurately. • Consistently met performance targets for quality, accuracy, and customer satisfaction in a fast-paced environment.