Patient Care Coordinator/ Healthcare Virtual AssistantPatient Care Coordinator/ Healthcare Virtual Assistant

Key Achievements:

• Manage inbound and outbound calls with patients, healthcare providers, and insurance companies for inquiries, appointment scheduling, and data verification, verifying caller identity and authorization before releasing protected health information. • Serve as the primary liaison between patients and providers, fostering professional, collaborative relationships and guiding members through benefit questions, prior authorizations, and claims inquiries. • Facilitate new patient admissions and intake, including onboarding, primary care registration, and collection and verification of insurance cards and identification documents. • Verify healthcare insurance coverage and eligibility, performing checks and follow-ups to confirm active coverage prior to scheduling. • Schedule in-person, virtual, and same-day telehealth appointments, and manage timekeeping and email correspondence as part of daily administrative support. • Navigate and update patient records in EMR systems, documenting clinical information and uploading discharge paperwork, photos, and medical records to patient charts. • Explain care plans to patients and support health promotion activities, helping patients understand next steps and available services. • Identify emergency symptoms during calls, exercise impartial judgment to prioritize escalation, and route urgent cases to nursing staff in line with triage protocols. • Process incoming faxes and maintain accurate records in strict compliance with HIPAA regulations and confidentiality standards, managing multiple systems with strong attention to detail across rotating and night shifts in a 24/7 support model.