Michelle De Leon, Medical Virtual Assistant

About

Medical Virtual Assistant | Healthcare Administrative Support | Home Health Reviewer Dedicated and detail-oriented Medical Virtual Assistant (MVA) with expertise in healthcare administration, home health review, and patient coordination. I specialize in insurance verification, prior authorizations, appointment scheduling, and HIPAA-compliant administrative support, helping healthcare providers streamline operations and improve patient experience. Core Skills & Expertise: ✓ Medical Virtual Assistance & Administrative Support ✓ Home Health Review & Documentation Management ✓ Insurance Verification & Prior Authorizations ✓ Patient Coordination & Appointment Scheduling ✓ HIPAA Compliance & Confidential Data Handling ✓ Electronic Health Records (EHR) & EMR Systems ✓ Healthcare Customer Service & Call Management With over a decade of experience in medical customer service and administrative roles, I have supported mental health providers, home health agencies, and insurance companies by ensuring efficient documentation processing, seamless patient interactions, and compliance with healthcare regulations. My ability to multitask, problem-solve, and communicate effectively allows me to provide high-quality support to medical teams and patients alike. Seeking Opportunities: Open to roles as a Medical Virtual Assistant, Administrative Assistant, or Home Health Reviewer, where I can contribute my skills to a fast-paced healthcare environment. Let’s Connect! If you need a skilled Medical VA to support your practice, feel free to reach out! Medical Virtual Assistant | Healthcare Administrative Support | Home Health Reviewer Dedicated and detail-oriented Medical Virtual Assistant (MVA) with expertise in healthcare administration, home health review, and patient coordination. I specialize in insurance verification, prior authorizations, appointment scheduling, and HIPAA-compliant administrative support, helping healthcare providers streamline operations and improve patient experience. Core Skills & Expertise: ✓ Medical Virtual Assistance & Administrative Support ✓ Home Health Review & Documentation Management ✓ Insurance Verification & Prior Authorizations ✓ Patient Coordination & Appointment Scheduling ✓ HIPAA Compliance & Confidential Data Handling ✓ Electronic Health Records (EHR) & EMR Systems ✓ Healthcare Customer Service & Call Management With over a decade of experience in medical customer service and administrative roles, I have supported mental health providers, home health agencies, and insurance companies by ensuring efficient documentation processing, seamless patient interactions, and compliance with healthcare regulations. My ability to multitask, problem-solve, and communicate effectively allows me to provide high-quality support to medical teams and patients alike. Seeking Opportunities: Open to roles as a Medical Virtual Assistant, Administrative Assistant, or Home Health Reviewer, where I can contribute my skills to a fast-paced healthcare environment. Let’s Connect! If you need a skilled Medical VA to support your practice, feel free to reach out!

Experience

Sensible Care

Jan 2025 – Mar 2025

Remote

Administrative Assistant

✓ Manage inbound and outbound patient communications, ensuring professional and timely responses. ✓ Conduct insurance verification for various payers, including Medicare, Medicaid, and private insurers. ✓ Process prior authorizations for medical treatments, procedures, and medications, ensuring compliance with insurance requirements. ✓ Schedule and coordinate patient appointments, optimizing provider availability and workflow efficiency. ✓ Follow up with patients to complete medical documentation and required paperwork, ensuring seamless intake and compliance. ✓ Maintain accurate records in Electronic Health Records (EHR) and EMR systems while adhering to HIPAA guidelines. ✓ Provide administrative and healthcare customer service support to enhance patient satisfaction and operational efficiency.

Renewed Mental Health Group

May 2024 – Jul 2024

Remote

Medical Virtual Assistant

✓ Handled inbound patient calls for medication refills, ensuring accuracy in prescription requests and timely processing. ✓ Scheduled and coordinated patient appointments, optimizing provider availability and reducing scheduling conflicts. ✓ Reviewed and verified medical documents for completeness before patient intake, ensuring compliance with provider and insurance requirements. ✓ Maintained electronic health records (EHR/EMR) by updating patient information and documentation. ✓ Provided HIPAA-compliant administrative support, ensuring patient data confidentiality and security.

Evolent Health

Sep 2022 – Feb 2023

Makati Philippines

Insurance Verification Specialist

✓ Received inbound calls from healthcare providers to verify patient benefits and eligibility for medical services. ✓ Provided updates on claims status and authorization status, ensuring accurate and timely communication with providers. ✓ Assisted with the coordination of patient care, including facilitating authorization requests for medical services and treatments. ✓ Maintained detailed records of patient interactions, benefit verifications, and authorization statuses in EHR/EMR systems. ✓ Supported compliance with HIPAA regulations to protect patient privacy and sensitive information.

Cardinal Health

May 2017 – Apr 2022

Taguig Philippines

Customer Service Representative

✓ Utilized telephone and online platforms to verify patient eligibility and authorization status with insurance companies, ensuring accurate and up-to-date information. ✓ Acted as a liaison between patients, healthcare providers, and insurance companies, facilitating clear and effective communication. ✓ Ensured accurate data entry and completion of authorization data from medical records, referral forms, and authorization documents. ✓ Coordinated patient registration, including gathering and entering patient demographic and insurance information via phone or in-person interactions. ✓ Requested authorization for payment from insurance providers for medical procedures and services, ensuring timely approvals. ✓ Prepared medical bills and invoices, documenting amounts due for procedures, services, and treatments. ✓ Investigated and appealed denied claims, working with providers and insurance companies to resolve issues and secure payment. ✓ Listened to recorded calls and transcribed them to accurate text files, ensuring that all details were correctly captured.

UNITED HEALTH GROUP

Jul 2013 – Mar 2015

Taguig Philippines

Customer Service Representative

✓ Translated insurance benefits to patients, addressing inquiries related to billing procedures, insurance coverage plans, and claim procedures in a clear and understandable manner. ✓ Investigated and appealed denied claims, working closely with providers and payers to resolve issues and ensure reimbursement. ✓ Coordinated with insurance payers to evaluate and address denied claims, developing strategies to maximize reimbursements and minimize financial discrepancies. ✓ Assisted in initiating and obtaining prior authorization from insurance companies, ensuring the timely approval of medical services and treatments. ✓ Provided accurate and thorough responses to patient coverage questions, ensuring clear communication regarding insurance benefits and authorization status.

Cook Counseling and Consulting Inc

Sep 2003 – May 2004

Remote

Administrative Assistant

✓ Managed inbound and outbound calls, assisting patients with inquiries, scheduling, and follow-ups. ✓ Conducted insurance verification to confirm patient eligibility and coverage for medical services. ✓ Processed prior authorizations for treatments, procedures, and medications, ensuring compliance with insurance requirements. ✓ Scheduled and coordinated patient appointments, optimizing provider availability and reducing no-shows. ✓ Followed up with patients to complete required medical documentation, ensuring a smooth intake process. ✓ Maintained accurate records in EHR/EMR systems, adhering to HIPAA compliance and patient confidentiality regulations.

Education

Colegio de San Juan de Letran

BS Psychology

Michelle De Leon

Medical Virtual Assistant

Skills

Languages