Verify. Authorize. Resolve. | Healthcare VA

Ericka Dalmacio

(0)

Starting at

/hr

About this service

Summary

My Specialized Service:

As a dedicated Medical/Healthcare Virtual Assistant, I specialize in insurance verification, prior authorization management, and claims resolution. My goal is to ensure fast, accurate, and seamless handling of your insurance processes, enabling you to focus on delivering exceptional patient care while I handle the backend.

To Whom Is This Service For:

This service is perfect for healthcare providers, medical agencies, and clinics seeking reliable, efficient support to manage insurance verifications, authorizations, and claims with speed and accuracy.

How I Do the Service & Its Benefits to the Client:

By streamlining workflows and leveraging my expertise, I guarantee accurate insurance verifications, timely prior authorizations, and swift claims resolutions. This results in fewer claim rejections, faster payment cycles, and improved operational efficiency, allowing you to enhance patient care and boost profitability.

Why I’m the Best Fit:

With a proven track record in healthcare administration and a passion for delivering results, I bring unparalleled efficiency, precision, and reliability to every project. My ability to manage complex processes under pressure and consistently exceed expectations makes me the ideal partner for optimizing your healthcare operations.

Process

How It Works

Schedule Your Discovery Call: Let’s start with a quick call to discuss your unique challenges and goals. I’ll listen to your needs so we can create a plan to streamline your healthcare operations.

Identify Needs & Define Goals: Together, we’ll identify pain points like insurance verifications, prior authorizations, and claims, and set clear KPIs to guide our strategy.

Create a Customized Plan: Based on our discussion, I’ll design a tailored strategy to address your goals, ensuring faster claims, smoother authorizations, and increased efficiency.

Set KPIs & Expectations: We’ll set clear, measurable targets for success, such as turnaround times and accuracy rates, so you always know where we stand.

Flexible Tracking & SOP Integration: We’ll discuss how to track progress—whether via End-of-Day Reports or other methods. I’ll read and align with your SOPs to ensure smooth, efficient operations.

Execute with Precision: I’ll handle insurance verifications, authorizations, and claims follow-ups with precision, allowing you to focus on patient care.

Regular Updates & Feedback: You’ll receive frequent updates and have a chance to provide feedback. I’ll adapt to ensure optimal outcomes and keep everything on track.

Achieve Results & Boost Efficiency: My goal is to help you resolve claims faster, streamline operations, and reduce delays. With improved processes, you’ll enjoy better cash flow, fewer admin headaches, and more time to focus on patient care.

What's included

Seamless Insurance Verification
Ensure smooth patient care by quickly verifying insurance coverage and eligibility, confirming key details before appointments to eliminate billing disruptions.
Efficient Prior Authorization Management
Secure fast and accurate prior authorizations for treatments and services, proactively coordinating with insurance providers to avoid delays in patient care.
Claims Resolution & Follow-Up
Drive efficient claims processing by following up on submissions, resolving discrepancies, and ensuring timely payments, minimizing claim rejections and denials.
Accurate Documentation & Record Management
Maintain organized, up-to-date patient records, ensuring compliance with healthcare regulations and easy access to vital information for efficient care delivery.
Clear Patient-Provider Communication (if part of the scope)
Facilitate seamless communication between patients and healthcare providers regarding insurance details, authorizations, and appointments, ensuring smooth care coordination, when applicable.

Example projects