Jhomer D.
Mid-Level U.S. Healthcare Virtual Assistant
Open to offersNew to PlatformAbout
Jhomerd G. is a seasoned Medical Virtual Assistant and U.S. Healthcare Operations Specialist with over a decade of experience in the U.S. healthcare sector, adept at supporting various medical practices including Pulmonology, Ophthalmology, Orthopedics, Behavioral Health, and Pharmacy Operations. Based in Cebu City, Philippines, he expertly manages appointment scheduling, insurance verification, and care coordination to enhance healthcare delivery. Jhomerd facilitates seamless communication between healthcare providers, patients, and insurance companies, ensuring efficient operations and patient care. With a Bachelor of Science in Nursing, he is well-versed in medical terminology and U.S. healthcare processes. Moreover, he has contributed to organizations such as Optum Global Solutions and Cognizant, showcasing his proficiency in EMR documentation, prior authorization, and pharmacy operations. Jhomerd's remote capabilities are complemented by his compliance with HIPAA regulations, ensuring the privacy and security of patient information.
Experience
Medical Virtual Assistant | Patient Care Coordinator
Integrity Pulmonary Specialists · 2025 — 2026Provided remote administrative and clinical support for a U.S.-based pulmonary specialty practice. Handled appointment scheduling and coordination of provider calendars for various patients. Conducted insurance eligibility and benefits verification prior to services. Managed referrals and prior authorizations working with insurance companies and physician offices. Completed patient registration and intake, ensuring accurate collection of demographic, insurance, and medical details. Coordinated orders for diagnostic tests and managed follow-up communications regarding equipment and procedures.Medical Virtual Assistant | Scheduler
Ophthalmic Surgeons and Physicians · 2024 — 2025Oversaw appointment scheduling and managed physician/surgeon calendars. Executed insurance eligibility checks and benefits verification processes. Facilitated referrals and prior authorization processes with insurance carriers and referring offices. Ensured accurate demographic and insurance information during patient registration and intake. Supported care coordination among patients, physicians, and insurance companies, while maintaining accurate EMR documentation.Medical/Healthcare Virtual Associate
Progressive Spine & Orthopaedics · 2023 — 2024Managed appointment scheduling and clinician calendars. Executed insurance eligibility and benefits verification. Conducted patient registration and ensured proper intake. Coordinated referrals and prior authorizations while supporting care coordination. Maintained accurate EMR documentation and managed prescription and refill requests.Virtual Assistant | Clinical Support Technician
The Potter's Behavioral Medicine Clinic · 2023 — 2023Supervised appointment scheduling and the management of clinician calendars. Completed insurance eligibility and benefits verification. Conducted patient registration and intake, along with referral and prior authorization processes. Enabled care coordination between patients and insurance providers. Maintained accurate EMR documentation and assisted with prescription requests.Care Coordinator Specialist
Cognizant (WellCare) · 2021 — 2022Conducted outreach to members about specialized healthcare programs, supporting engagement and enrollment initiatives. Coordinated interactions between members and healthcare teams to facilitate appropriate care while documenting member interactions per compliance protocols.Prior Authorization & Senior Process Advocate
Cognizant (Aetna Account) · 2020 — 2021Created and processed medical and pharmacy prior authorizations for Aetna members, ensuring thoroughness and accuracy in the documentation. Worked with providers to enable timely authorization decisions and addressed complex inquiries regarding processes.Front Pharmacy Clerk
Optum Global Solutions · 2019 — 2020Coordinated prescription and refill requests interacting with primary care physicians and doctor's offices. Processed prescriptions while verifying insurance details. Communicated with providers to resolve any prescription-related issues.Pharmacy Helpdesk Specialist
Optum Global Solutions · 2016 — 2019Provided healthcare and pharmacy support to members and healthcare professionals, verifying prior authorizations. Coordinated with PCPs for prescription refills and handled administrative issues related to prescriptions and billing.Medical Virtual Assistant
nullHandled appointment scheduling, patient registration, and intake processes. Conducted verification of insurance eligibility and benefits. Managed referrals and prior authorization requirements effectively. Supported care coordination across various healthcare stakeholders while maintaining EMR documentation. Assisted with prescription coordination and addressed billing-related inquiries and administrative concerns.
Skills & Expertise
Education
- Bachelor of Science in NursingDMC COLLEGE FOUNDATION · 2006 — 2010
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