Hey I am Analiza

More Info About Me

With nearly five years of experience in the healthcare industry, specifically working with insurance companies, I bring a strong background in processing prior authorizations, insurance verification, scheduling appointments, and managing both inbound and outbound calls. As a Medical Virtual Assistant, I am highly adaptable and skilled at handling both administrative tasks and patient interactions. My goal is to provide essential support to enhance workflow, improve the patient experience, and assist healthcare providers in delivering high-quality care. Through consistent, reliable service, I strive to build trust and foster long-term relationships with clients, ensuring exceptional service and outstanding business results.

Analiza L. Aplasca
Anitpolo City, Philippines
Freelancer
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My Skills and Competencies

Medical Virtual Assistant

Certificates

My Experience and Education

  • EXPERIENCE
  • EDUCATION
2019 - 2021
UNITED EHALTHCARE GROUP
(Customer Service Representative)

Managing incoming calls from patients and making outbound calls if necessary.
Check if the patient's insurance is active.
Help patients understand their health plan benefits.
Answer basic questions about claims and billing.
Assist patients in finding in-network providers and scheduling appointments.
Explain complex information and Assisting patients with filing grievances
Tools: Avaya, RxClaim, Citrix, Jacada Portals: UHC Portal

2021 - 2022
OPTUM GLOBAL SOLUTIONS
(Customer Service Representative)

Manage incoming patient calls and initiate outbound calls as needed.
Verify the patient's insurance status.
Provide assistance in understanding health plan benefits.
Address general inquiries regarding claims and billing.
Support patients in locating in-network providers and scheduling appointments.
Process monthly premium payments for members.
Tools: Avaya,RxClaim, Citrix, Jacada Portals: UHC Portal

2022 - 2023
UMR - UNITED HEALTCARE GROUP
(Intake Specialist)

Managing incoming calls from providers' offices, facilities, hospitals, and other healthcare
providers.
Making outbound calls when necessary.
Verifying whether prior authorization is required and recommending predetermination when applicable.
Initiating a case as needed. Monitoring the status of cases.
Providing the rationale for case denials and instructions on how to make peer-to-peerrequests.Offering information for appeals and tracking the status of appeal requests.
Tools: Avaya, RxClaim, Aerial, Jacada

My Services

Services

Insurance Verification Prior Authorization Appointment Scheduling Maintain Electronic Medical Records Data Entry

Let's work together !

I am available for freelance projects.
Hire Me

Skype ID:
analizaaplasca28@gmail.com

Address :
Anitpolo City,
Philippines


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