Maria

General Virtual Assistant| Claim Examiner| Email ChatSupport

Maria

ID Verified
800/mo
Mabalacat, Pampanga, Philippines
Looking for Full-time
8 hours/day
Availability: US / EU / Asia timezone

Profile Description

Detail-oriented healthcare professional with over 3 years of experience in the BPO industry, specializing in healthcare claims examination, insurance verification, and eligibility verification. Experienced in reviewing claim statuses, verifying insurance benefits and coverage, resolving claim-related concerns, and ensuring accurate information in accordance with insurance policies and procedures. Equipped with strong analytical, problem-solving, communication, and customer service skills, with a...

Top Skills

Document Management · 8 yearsData Entry · 5 yearsCalendly · 2 yearsCanva · 2 yearsEmail Management · 2 years

Skills & Expertise

Design & Creative

CanvaIntermediate
User ResearchIntermediate

E-commerce & Marketplace

ShopifyIntermediate
Facebook MarketplaceIntermediate
Order ProcessingIntermediate
Order FulfillmentIntermediate

Sales & Business Development

Lead GenerationIntermediate
SalesforceIntermediate

Specialized Skills

Medical TranscriptionIntermediate
Medical BillingIntermediate

Virtual Assistance & Admin

Document ManagementExpert
Data EntryExpert
Executive Assistant ServicesIntermediate
Research & Information GatheringIntermediate
CalendlyIntermediate
Email ManagementIntermediate
NotionIntermediate
JiraIntermediate
Calendar ManagementBeginner

Work Experience

Medical/Dental Billing & Claims Examiner

Global Clinical Services BPO Inc.

Aug 2023 - Jan 2026

Key Achievements:

Reviewed and evaluated medical and dental claims, records, and supporting documentation to ensure accuracy, completeness, and compliance with established guidelines. Processed and examined claims by verifying patient information, medical procedures, diagnosis codes, billing details, and eligibility before making appropriate claim determinations. Identified discrepancies, missing information, and potential billing errors, coordinating with relevant teams to resolve issues and prevent processing delays. Maintained accurate records while handling high-volume claims and sensitive healthcare information, consistently meeting quality, productivity, and turnaround-time requirements.

CanvaMedical TranscriptionMedical BillingLead GenerationUser ResearchDocument ManagementExecutive Assistant ServicesEmail ManagementResearch & Information GatheringData EntryCalendlySalesforce

Email and Chat Support Specialist

Buwelo Exact Star Company

Apr 2021 - Aug 2023

Key Achievements:

Provided prompt and accurate customer support through email and live chat. Responded to customer inquiries, resolved concerns, and provided information about products and services. Assisted retailers and brands through an online wholesale marketplace by helping with their questions and concerns. Delivered friendly and reliable service while handling multiple customer inquiries in a fast-paced environment.

Order ProcessingAmazon FBAUser ResearchOrder FulfillmentShopifyFacebook MarketplaceResearch & Information GatheringData EntryNotionJiraDocument ManagementExecutive Assistant ServicesEmail Management

Healthcare Specialist / PreCertification After hours Agent

Global Clinical Services BPO Inc.

May 2021 - Aug 2021

Key Achievements:

Accurately coded medical procedures using patients’ electronic health records to ensure compliant documentation, reviewed and verified insurance claims for smooth billing, maintained detailed financial records, and conducted outbound calls to confirm patient information, enhancing data accuracy and transparency.

SalesforceMedical TranscriptionMedical BillingData EntryExecutive Assistant Services

Quality Assurance (Inspection Sr. Leader/Trainer)

Sumi Philippines Wiring Systems Corp.

May 2013 - May 2021

Key Achievements:

Monitored product quality, identified issues, implemented corrective actions, and trained team members to maintain quality standards and improve processes.

Research & Information GatheringData EntryExecutive Assistant Services

Quick Stats

Age37 years
English LevelBasic
ID VerificationVerified
Portfolio
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Certifications

General Virtual Assistance
Food and Beverage NCII
Bartending NCII