John P.
Senior Medical Virtual Assistant
Open to offersNew to PlatformAbout
John P. D. is an accomplished Medical Virtual Assistant with over seven years of experience in the healthcare industry, proficient in supporting healthcare professionals through administrative tasks, patient and provider communications, billing, and EHR management. With a detailed focus on maintaining HIPAA compliance, John ensures the protection of confidential information and enhances workflow efficiency. His role as a Process Trainer at both Optum Global Solutions and DME Service Solutions over the past three years further honed his expertise in training, coaching, process improvement, and team support. He excelled at developing training materials, standard operating procedures, and accurate submission of medical authorization requests while monitoring team performance and dealing with insurance eligibility and prior authorization processes. John holds a Bachelor of Science in Entrepreneurship from the Polytechnic University of the Philippines, reinforcing his business acumen in navigating the healthcare sector.
Experience
Process Trainer - Authorization Specialist
DME Service Solutions · 2025 — 2026Conducted training and coaching for employees on insurance eligibility and prior authorization processes. Developed SOPs and training materials aimed at enhancing compliance and accuracy. Provided real-time support for complex cases and addressed process-related inquiries. Monitored employee performance and offered coaching to improve overall quality and productivity. Ensured patient information was handled in alignment with HIPAA compliance.Authorization Specialist
DME Service Solutions · 2023 — 2025Submitted and tracked medical authorization requests with insurance providers. Reviewed patient information and clinical documentation to ensure submissions were accurate. Monitored authorization status and followed up with payers for approvals or additional information. Maintained documentation according to HIPAA and healthcare privacy standards.Process Trainer - Provider Services
Optum Global Solutions · 2019 — 2023Oversaw team performance to ensure adherence to productivity and quality standards. Provided coaching and mentorship to team members through feedback and performance monitoring. Delivered process training and onsite support to enhance team efficiency. Compiled performance reports and collaborated with management for continuous improvement strategies.CSR - E&I Provider Services
Optum Global Solutions · 2018 — 2019Managed inbound calls from healthcare providers addressing inquiries about patient eligibility and claims. Provided assistance with claims-related issues, including denials and payment information. Conducted research on claim status and communicated relevant outcomes to providers. Ensured accurate documentation of inquiries while meeting quality and productivity standards. Maintained confidentiality of patient information following HIPAA regulations.
Skills & Expertise
Education
- Bachelor of Science in EntrepreneurshipPolytechnic University of the Philippines · 2012 — 2016
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