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BS Psychology
Our lady of Fatima University
More Info About Me
Hello and welcome! I'm Angeline, but you can just call me Angel. I am a highly skilled Virtual Assistant with extensive experience in healthcare support, customer service, and administrative tasks. With over 7 years of experience, I have assisted professionals in managing insurance verification, claims processing, provider support, and customer inquiries with efficiency and accuracy.
As a Virtual Assistant, I bring attention to detail, strong communication skills, and a problem- solving mindset to every task. Whether it’s handling insurance inquiries, managing administrative work, or optimizing customer interactions, I am committed to delivering seamless support for businesses and professionals.
Feel free to explore my portfolio, and let’s connect to discuss how I can assist in streamlining your operations and improving workflow efficiency!
My Skills and Competencies
Data Entry and CRM Management
Online Research and Administrative Support
Task and Project Management
Appointment Scheduling and Patient Coordination
Electronic Health Records (EHR) Management
Patient Communication and Customer Support
Certificates
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My Experience and Education
2025
-
Present
Independent Contractor
(Authorization Specialist)
*Review patient documentation, clinical notes, prescriptions, and supporting records to verify medical necessity.
*Submit prior authorization requests to insurance providers in accordance with payer-specific guidelines and DME standards.
*Conduct regular follow-ups with insurance portals and representatives to track and obtain authorization status updates.
*Communicate authorization requirements to providers, facilities, and internal teams when documentation is incomplete or missing.
*Maintain accurate records of authorizations, including approval letters and supporting documents, within internal systems.
*Collaborate with Order Processing, Documentation, Patient Contact, and Billing teams to ensure a smooth workflow across the DME order cycle.
*Document all activities, including follow-ups, denials, additional requirements, and next steps.
*Escalate issues related to delays, missing documentation, or medical necessity concerns to appropriate channels.
*Stay up to date with payer policies, authorization requirements, and medical documentation standards.
*Ensure compliance with internal SOPs, DME guidelines, and HIPAA/Data Privacy regulations.
*Process DME orders with accuracy and efficiency while meeting required turnaround times.
*Manage work queues, prioritize tasks effectively, and ensure timely completion of assigned orders.
2022
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2025
Sagility
(First Call Resolution Analyst)
* Conducted detailed evaluations of first call resolution interactions to ensure compliance with quality standards and best practices.
* Analyzed call metrics and outcomes to assess the effectiveness of customer service representatives in resolving issues on the first contact.
* Provided constructive feedback to team members based on call reviews, highlighting
strengths and areas of improvement.
* Maintained accurate records of call reviews and associated feedback for performance tracking and quality assurance.
* Worked closely with team leaders and management to implement strategies that enhance first call resolution rates.
* Ensured adherence to company policies, procedures, regulatory requirements during
call evaluations.
* Complied and presented reports on call review outcomes, highlighting overall team performance and areas for growth.
2017
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2022
Hinduja Global Solutions
(Customer Service Representative/Healthcare Associate)
* Serve as the primary point of contact for healthcare providers addressing inquiries
related to patient insurance, claims, billing and authorization.
* Ensure accurate and timely information on patient eligibility, coverage, and
reimbursements. Manage provider inquiries and address concerns regarding claims
processing, denials, appeals, and billing resolutions.
* Educate providers on policies, network participation requirements, and best practices
for efficient claims resolution.
* Maintain HIPAA compliance while handling sensitive patient and provider information.
* Educate providers on portal navigation and claim submissions.
* Document all provider interactions and call details accurately to ensure proper follow up
and compliance tracking.
* Stay updated on plan changes, regulatory updates, and policy modifications to provide
accurate guidance.
* Work towards exceeding key performance metrics, including call resolution time,
provider satisfaction, and compliance accuracy
My Services
Data Entry and CRM Management
I maintain accurate records by updating spreadsheets, databases, or CRM systems, helping you stay on top of client infor
Email and Calendar Management
I efficiently manage your emails, schedule appointments, and ensure your calendar stays organized and on track.
Online Research and Administrative Support
I conduct online research and assist with document preparation, travel bookings, and other admin tasks to help streamlin
Appointment Scheduling and Patient Coordination
I handle patient bookings, reschedules, and appointment reminders to ensure a smooth and organized patient flow.
Insurance Verification and Claims Assistance
I assist with verifying patient insurance coverage, obtaining authorizations when needed, and supporting claims processi
EHR Management and Patient Communication
I update electronic health records accurately and assist with patient communications through calls, emails, or SMS to ke