Kimberly Delima
kimdelima643@gmail.com
+639562716589
PH
About Me
I am a Virtual Administrative Medical Assistant now for over 5 years. Have assisted multiple clinics based in the US and is familiar on all administrative tasks and medical terminologies. I was a Provider Service Advocate for United Healthcare, assisting service providers on checking member's eligibility, benefits and claims. I also has experience on creating Prior Authorization, reading EOB's, Insurance verification, accessing Insurance portals, copay, co-insurance, deductibles and a lot more. I also has an experience as a Medical Receptionists assisting patient's on scheduling, re-scheduling and cancelling appointments. And with all these experiences, I must say I'm a good fit to your clinic and excited to start a journey with you in helping your business grow and improve quality service. Thank you!
Basic Information
Full Name
Kimberly Delima
Email Address
kimdelima643@gmail.com
Phone
+639562716589
Location
PH
Education
Education Completed
High School
Institution/School
University of Cebu-LM
Field of Study
Office Management
Graduation Year
2014
Current Enrollment
Graduated
GPA/Grade
4.0
Certifications
Achievements
Work & Experience
Company Name 1
MedVA
Job Title
Medical Admin/Receptionists
Start Date
31/01/2024
End Date
23/12/2024
Job Description
My main tasks are:
-Answer phone calls and handle inquiries professionally, directing calls to appropriate departments as needed.
-Schedule and manage patient appointments using electronic health record (EHR) systems.
-Verify patient information and update medical records to ensure accuracy and compliance with HIPAA regulations.
-Process insurance information, verify coverage, and handle co-pays or other payments.
-Collaborate with medical staff to ensure efficient clinic operations.
Company Name 2
Wipro
Job Title
Provider Service Advocate
Start Date
20/06/2018
End Date
10/07/2022
Job Description
As a Provider Service Advocate I
-Serve as the primary point of contact for healthcare providers, addressing inquiries regarding claims, billing, eligibility, benefits, and authorizations.
-Assist providers in navigating policies, procedures, and healthcare plans, ensuring they understand coverage guidelines and billing practices.
-Research and resolve complex issues related to provider claims and reimbursements, ensuring timely resolutions.
-Provide guidance on the use of provider portals and electronic systems for claim submissions and eligibility checks.
-Identify trends and report issues to improve provider satisfaction and operational processes.
-Document all provider interactions accurately in the system to ensure proper follow-up and resolution tracking.
-Promote positive relationships between the organization and the provider network by ensuring efficient communication and problem-solving.
Hourly Charge
Employment Type
Professional Skills
Technical Skills
Data Analysis & Data Science | Cybersecurity | Mobile Development
Creative Skills
Graphic Design | Video Editing | Copy writing & Content Creation | Graphic Design | Video Editing | Copy writing & Content Creation
Business Skills
Project Management | Social Media Management | Sales & Lead Generation | Customer Relationship Management (CRM)
Communication