Jan Person Nidea

Experience

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  ResultsCX

  Jan 2020 - Mar 2020

  Inbound Customer Service Representative
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  Sykes Enterprises

  Nov 2020 - Jan 2022

  Customer Service Associate

  Customer service advocate help clients and healthcare providers understands the products and service offered by the account. Topics like determination of payment claims related to medical procedures and office and hospital visit costs are the common questions.

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  MedVA

  Jun 2022 - May 2023

  Medical Virtual Assistant

  As a Medical Virtual Assistant, I have extensive experience in providing administrative support to healthcare providers and performing various medical tasks. My role primarily revolves around insurance benefits and eligibility verification, prescription refills, managing prior authorization requests for mental health prescriptions, updating patient records on the Electronic Health Records (EHR) system, and fulfilling other administrative responsibilities as needed.During my tenure, I have successfully handled insurance-related tasks, ensuring accurate verification of benefits and eligibility for patients. This involved coordinating with insurance companies, gathering necessary information, and promptly communicating any changes or updates to the healthcare providers.Additionally, I have efficiently managed prescription refills, working closely with healthcare professionals to process requests in a timely manner and ensuring patients receive their medications without any disruptions. I have been responsible for maintaining an organized system to track prescription statuses and coordinating with pharmacies as necessary.One of my key areas of expertise lies in managing prior authorization requests specifically for mental health prescriptions. I have effectively liaised with insurance companies, healthcare providers, and pharmacies to facilitate the approval process, ensuring patients receive the necessary medications for their mental well-being.In order to maintain accurate and up-to-date patient information, I have demonstrated proficiency in updating patient records on the Electronic Health Records (EHR) system. This includes recording relevant medical information, updating contact details, and documenting any changes in the patient's condition or treatment plan.Throughout my role as a Medical Virtual Assistant, I have consistently prioritized efficiency, accuracy, and maintaining patient confidentiality. Show less

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  Zealie – Behavioral Health Billing Services

  Apr 2023 - now

  Verification of benefits specialist

  1. Communicate with insurance carriers to obtain accurate and up-to-date patient benefits information.2. Collect all necessary information from patients to complete the benefit verification process, ensuring compliance with insurance requirements.3. Conduct thorough investigations and inquiries to validate patient coverage details, including eligibility, co-pays, deductibles, and maximums.4. Utilize various software and systems to access and update patient benefit information, maintaining data accuracy and integrity.5. Collaborate with the billing department to resolve any discrepancies or issues related to patient benefits, ensuring smooth claim processing.6. Maintain a comprehensive understanding of insurance policies and guidelines, staying updated with industry changes to provide accurate benefit information to patients and healthcare providers.7. Develop and maintain positive relationships with insurance carriers, fostering effective communication channels to expedite benefit verification processes.8. Implement quality control measures to ensure accurate data entry and documentation of patient benefit coverage.9. Provide support and guidance to team members, offering training on benefit verification processes and best practices. Show less