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Rolando T. — Senior Healthcare Virtual Assistant from Philippines

Rolando T.

Senior Healthcare Virtual Assistant

Philippines 6+ years
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About

Rolando B. is a dedicated Healthcare Virtual Assistant with over 10 years of experience in the US healthcare and insurance industry. He has a comprehensive background in healthcare operations and administration, having worked with major accounts like United Healthcare and Aetna. His expertise encompasses eligibility verification, prior authorization, claims processing, billing, pharmacy support, and patient-provider services. A proficient user of Epic and Athenahealth, Rolando ensures compliance with HIPAA standards, safeguarding all private health information. He brings extensive knowledge of medical coding systems such as ICD-10, CPT, and HCPCS and is familiar with both Medicare and Medicaid frameworks. Rolando's role as Healthcare Operations Specialist at Concentrix and Afni involved managing claims, processing referrals, and handling provider credentialing with precision and reliability. As he transitions into virtual assistance, Rolando aims to provide seamless and professional support to his clients.

Experience

  • Healthcare Operations Specialist

    Afni · 2020 — 2023
    Managed claims from submission through resolution, handling review, adjustment, appeals, and billing concerns. Provided support and assistance to members, patients, healthcare providers, and insurance offices while maintaining, updating, and organizing patient records and medical charts.
  • Healthcare Operations Specialist

    Concentrix · 2015 — 2020
    Verified patient eligibility and active status, ensuring coverage details, benefits, deductibles, copays, coinsurance, and out-of-pocket limits were accurate. Processed prior authorizations, pre-certifications, and referrals by confirming medical necessity and coverage for various healthcare services.

Skills & Expertise

Education

  • Bachelor of Philosophy
    International Peace Leadership College · 2000 — 2011
  • High School Diploma
    Kasiglahan Village National High School · — — 2006
  • Elementary Education
    Obo San Miguel Catanduanes · — — 2001