Kylle

US Healthcare Virtual Assistant

Kylle

ID Verified
100/mo
Philippines
Looking for Full-time
8 hours/day
Availability: US / EU / Asia timezone

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

Customer Success

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.

Quick Stats

Age27 years
GenderMale
English LevelFluent
ID VerificationVerified
Portfolio
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