Shenalyn A.

💁Virtual Assistant, 🏢 Admin & 📞 Customer Support, 📅 Appointment Scheduling, 👩‍⚕️Medical and 💊 Rx Eligibility & Benefits ✅Verification, 📝 Prior Authorization Submission, 👩‍⚕️ Medical and 💊 Rx Claims and Denials, 💉Mail Order Pharmacy, ☎️ Phone & 📠Virtual Fax Operation, 📥Data Entry, 🎨 Graphic Design, 🖌Canva, 🌐Social Media Content Creator, 🗣English-Filipino/Tagalog Linguist I have over 6 years of Healthcare experience as a Customer Service Representative and Virtual Assistant. I am expert in all aspects of medical and Rx insurance plans, from eligibility and benefits verification to prior authorization requirements and submission, and reviewing both medical and Rx claims. I also worked with Mail order for 2 years wherein I assisted in placing an order, checking inventory, tracking order, override and sending request for return/refund. Most recently, I worked as a Prior Authorization Specialist-VA for a US-based clinic, assisting them with prior authorization submission, status, fax operation, data entry and with some outbound calls to coordinate with the plans or referral doctor's office. I am familiar with tools/portals like Salesforce, SimplePractice, OfficeAlly, TherapyNotes, Backoffice, Glidian, Evicore, Availity, Careviso, Carelon, Navigator, Iris, Ad-hoc, MS Team, MS apps/tools (including Excel, Word, Powerpoint), Google Sheet, Google calendar, Canva and more. Services I provide: 1. 💁Virtual Assistant (🏢 Admin & 📞 Customer Support) - From administrative tasks to project management, I provide efficient solutions tailored to your needs. 2. 📅 Appointment Scheduling - experienced with on-boarding clients,, crating charts and setting up appointments. 3. 👩‍⚕️Medical and 💊 Rx Eligibility & Benefits ✅Verification - Skilled in verifying patient eligibility, benefits coverage, and coordinating with insurance providers to ensure accurate billing and reimbursement 4. 📝 Prior Authorization Submission - Skilled in insurance verification, documentation management, and advocating for patients' healthcare needs. 5. 👩‍⚕️ Medical and 💊 Rx Claims - Skilled in identifying discrepancies, verifying documentation, and ensuring adherence to reimbursement policies. 6. 💉Mail Order Pharmacy - Skilled in processing orders, resolving inquiries, and ensuring timely delivery of product. 7. ☎️ Phone & 📠Virtual Fax Operation - Skilled in multitasking, routing calls, and accurately transmitting messages. 8. 📥Data Entry - Expertise in entering, organizing, and maintaining data with attention to detail and confidentiality.. 9. 🎨Graphic Design - Creative solutions for branding, marketing, and digital presence. 10. 🖌Canva,- Visual content from social media posts to presentation 11. 🌐Social Media Content Creator - I specialize in crafting engaging posts, eye-catching visuals, and compelling copy that resonates with your audience. 12. 🗣English-Filipino/Tagalog Linguist - Responsibilities include translating written documents, interpreting spoken communication, and ensuring linguistic clarity and accuracy. Together, we can make your project a success. Don't hesitate to reach out and start the conversation. I'm eager to dive in, understand your requirements, and deliver results that exceed your expectations. Contact me today, and let's begin this journey toward realizing your project's full potential.