Rhonarie

Medical Biller Virtual Assistant, Patient Coordinator

Rhonarie

ID Verified
1,500/mo
Manila, Philippines
Looking for Full-time
9 hours/day
Availability: US / EU / Asia timezone

Profile Description

Detail-oriented and empathetic administrative professional with extensive experience across customer service, medical billing, and patient coordination. Proven track record in managing high-volume patient inquiries, streamlining scheduling workflows, and ensuring accurate insurance claims processing. Skilled in translating complex medical billing terms for patients while maintaining strict HIPAA compliance. Adept at cross-functional communication to bridge gaps between clinical staff, insurance ...

Top Skills

Email Support · 8 yearsLive Chat Support · 8 yearsPhone Support · 8 yearsLiveChat · 7 yearsAccounts Payable/Receivable · 6 years

Skills & Expertise

Customer Success

Live Chat SupportExpert
Email SupportExpert
Phone SupportExpert
LiveChatExpert
Technical SupportExpert

Data & Analytics

Google Sheets (Advanced)Advanced

Design & Creative

CanvaExpert
Logo DesignAdvanced

Finance & Accounting

Accounts Payable/ReceivableExpert
Financial ReportingExpert
Risk ManagementExpert

Sales & Business Development

Cold CallingAdvanced

Virtual Assistance & Admin

Data EntryExpert
Calendar ManagementExpert
Email ManagementExpert
TrelloExpert
Personal Assistant ServicesExpert

Work Experience

Process Developer Operations

Kestra Medical Technology Services Inc

Mar 2023 - Jun 2026

Key Achievements:

Processed healthcare and insurance claims accurately and efficiently according to company policies and industry regulations. Reviewed patient records, insurance documents, and billing information to verify claim eligibility and coverage. Coordinated with healthcare providers, insurance companies, and internal teams to resolve claim discrepancies and payment issues. Gathered and organized patient medical records from multiple sources. Contacted patients to request missing information or documentation needed for medical records, authorization, or treatment. Assisted patients with questions or concerns regarding their treatment or insurance coverage. Contacted physicians or specialists to request additional medical records or documentation needed for patient care or insurance purposes. Assisted in handling denied or rejected claims and initiated corrective actions when necessary. Supported process improvement initiatives to enhance operational efficiency and reduce processing errors. Responded to customer, provider, and client inquiries regarding claims, benefits, and insurance coverage. Reviewed patient medical records and assigned accurate ICD-10, CPT, and HCPCS codes for diagnoses and procedures. Responsible for obtaining prior authorization numbers from insurance companies. Processed refunds, credits, and billing adjustments. Worked closely with finance team to ensure accurate billing and invoicing Managed prior authorization requests, claims submissions, and policy-related inquiries. ​Ensured compliance with HIPAA guidelines, healthcare regulations, and data privacy standards. ​Analyzed and validated medical claims, invoices, and supporting documentation for accuracy. ​Assisted in handling denied or rejected claims and initiated corrective actions when necessary.

Risk ManagementCalendar ManagementData EntryCold CallingEmail ManagementPersonal Assistant Services

Process Developer Operations

Carelon Healthcare Services

May 2021 - Feb 2023

Key Achievements:

Processed healthcare and insurance claims accurately and efficiently according to company policies and industry regulations. Reviewed patient records, insurance documents, and billing information to verify claim eligibility and coverage. Coordinated with healthcare providers, insurance companies, and internal teams to resolve claim discrepancies and payment issues. Gathered and organized patient medical records from multiple sources. Contacted patients to request missing information or documentation needed for medical records, authorization, or treatment. Assisted patients with questions or concerns regarding their treatment or insurance coverage. Contacted physicians or specialists to request additional medical records or documentation needed for patient care or insurance purposes. Assisted in handling denied or rejected claims and initiated corrective actions when necessary. Supported process improvement initiatives to enhance operational efficiency and reduce processing errors. Responded to customer, provider, and client inquiries regarding claims, benefits, and insurance coverage. Reviewed patient medical records and assigned accurate ICD-10, CPT, and HCPCS codes for diagnoses and procedures. Responsible for obtaining prior authorization numbers from insurance companies. Processed refunds, credits, and billing adjustments. Worked closely with finance team to ensure accurate billing and invoicing.

Phone SupportEmail SupportTechnical SupportAccounts Payable/ReceivableRisk ManagementCold CallingCalendar ManagementEmail ManagementData EntryPersonal Assistant Services

Customer service representative

Amazon

Sep 2020 - Mar 2021

Key Achievements:

Assisted customers with order inquiries, account concerns, refunds, returns, and delivery issues through phone, chat, and email support. Processed refunds, replacements, cancellations, and account updates according to company policies. Tracked customer orders and provided updates regarding shipping and delivery status. Educated customers about Amazon products, services, and policies. Assisted customers with login issues, payment concerns, and account verification.

Phone SupportTechnical SupportData Entry

Technical and Billing Support

Telstra

Jan 2020 - Aug 2020

Key Achievements:

Resolved billing concerns including payment processing, billing disputes, refunds, and account adjustments. Collaborated with technical and billing teams to improve customer experience and issue resolution. Assisted customers with troubleshooting internet, software, and account-related issues. Processed account updates, service requests, and payment transactions accurately. Maintained compliance with company policies, security procedures, and customer data protection standards.

Phone SupportEmail SupportTechnical Support

Technical and Billing Support

Verizon

Oct 2018 - Dec 2019

Key Achievements:

Resolved billing concerns including payment processing, billing disputes, refunds, and account adjustments. Collaborated with technical and billing teams to improve customer experience and issue resolution. Assisted customers with troubleshooting internet, software, and account-related issues. Processed account updates, service requests, and payment transactions accurately. Maintained compliance with company policies, security procedures, and customer data protection standards.

Live Chat SupportPhone SupportEmail SupportTechnical Support

Technical Support

Comcast

Oct 2016 - Sep 2018

Key Achievements:

Provided technical support to customers via phone, email, and chat. ​Diagnosed and resolved hardware, software, and network issues efficiently. ​Collaborated with internal departments to improve service quality and issue resolution. ​Maintained high customer satisfaction by delivering timely and professional support.

Live Chat SupportPhone SupportEmail SupportTechnical Support

Quick Stats

Age28 years
English LevelFluent
ID VerificationVerified