2009
Bachelor of Science in Entrepreneurial Management
Polytechnic University of the Philippines (Manila)
More Info About Me
Hi, my name is Sandy Rosas, you can call me Sandz. I am a Medical Virtual Assistant for three years now. I am a highly motivated person, quick learner and reliable who can work with minimal supervision. If you need someone who is highly dependable, determined, consistent, smart worker and a fast learner. I could likely be the one you're looking for. love watching movies and searching for a good restaurant where I can enjoy the food and the ambience.
My Skills and Competencies
Healthcare Virtual Assistant
Billing Associate
Customer Care Associate/ Representative
Prior Authorization
Social Media Management
Data Entry
Content Creator
Certificates
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My Experience and Education
January 2014
-
July 2018
Convergys
(Senior Customer Service Specialist)
Cigna Dental Provider Services and Customer Service Representative
Giving and checking patient’s Eligibility
Giving and checking patient’s Dental Benefits information such as copay, coinsurance, deductible, maximums and if a code is covered or not.
Giving and checking if a CPT code requires Pre - Authorization.
Checking if Pre - Authorization is processed or denied.
Checking Claims Status, explaining how it is processed, giving reason code why claim got denied or what information needed for the claim to be processed.
Send the claim back for reprocessing if all detailed information is on hand.
Finding nearest in network dental office for patient, calling provider for patient’s appointment.
Scheduling appointments for the patients
2021
-
2022
Freelancer/ Healthcare Virtual Assistant
(Client AR/ Billing Associate)
Scheduling patient’s appointments.
In charge with copay charges for client’s appointments everyday through intake forms.
Sending out balance sheet through email and SMS
Manage billing operations efficiently
Send invoices and account updates to clients via text, email, and outbound calls
Issue receipts for received payments (automated)
Utilize bank account viewing access.
Communicate effectively with clients regarding billing matters.
Establish standard operating procedures for billing processes (e.g Late Payments Process)
Provide regular, accurate reports of billing data (nice to have)
Collections and Payments
Stay on top of collecting late payments from clients
Develop and implement SOPs for collecting late payments
Receive, sort, and track incoming payments
Validate debit accounts to ensure payment credibility
Keep the team updated with past-due accounts
Perform other related duties as assigned.
2020
-
2022
NTT DATA PHILIPPINES
(Bluecross Blushield Provider Services)
Customer Care Associate:
● Answered phone calls and checked to see if the outcome was negative or positive
● Giving and checking patient’s Eligibility
● Giving and checking patient’s Medical Benefits information such as copay, coinsurance,
deductible and if a code is covered or not.
● Giving and checking if a CPT code requires Pre Authorization.
● Giving and checking status of Pre Authorization
● Checking Claims Status, explaining how it is processed, giving reason code why claim got denied
or what information needed for the claim to be processed.
● Send claim back for reprocessing if all detailed information is on hand.
2018
-
2020
EXL Philippines
(Zurich Medical Provider Helpline)
● Checking Claims Status – Medical Bills, explaining how it is processed, giving reason code why claim got denied or what information needed for the claim to be processed.
● Send claim back for reprocessing if all detailed information is on hand.
● Worker’s Compensation details
April 2022
-
May 2024
Concierge Health Partners
(Medical Virtual Assistant)
Managing appointments, scheduling, and sending reminders to patients
Handle prescription refills as per the directions of the healthcare providers.
Assist with coding, billing, and/or payment posting.
Perform insurance verification, handle prior authorization, eligibility, and / or manage healthcare claims.
Provide general administrative support including patient records management in EHR/EMR systems.
Collaborate with other practice members to provide excellent patient care coordination.
Handle prior authorization processes for various medical procedures and treatments.
Ensure timely and accurate submission of authorization requests.
Communicate effectively with healthcare providers and insurance companies to resolve authorization issues.
Stay informed about changing regulations and payer policies related to prior authorization.
Maintain meticulous records and documentation of authorization activities.
My Services
Social Media Management
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Data Entry / Web Researcher
Search the Internet for information on a wide variety of topics.
Healthcare Virtual Assistant
I can help you with this term.