KAISEY ANNE PUERTO, RN
Certified Virtual Healthcare Assistant
Imus, Cavite
Summary
Dedicated Registered Nurse and Certified Healthcare Virtual Assistant with over 10 years of experience in the healthcare industry. Adept at handling claims status inquiries, benefits, eligibility, medical records review, billing, and recoveries. Proven ability to provide exceptional patient care while ensuring compliance with healthcare regulations.
Overview
13
13
years of professional experience
3
3
years of post-secondary education
2
2
Certifications
Work History
Healthcare Virtual Assistant
HelloRache
11.2022 - Current
- Manage patient scheduling, appointment confirmations, and cancellations.
- Handle medical records and ensure accurate data entry in Electronic Health Records (EHR) systems.
- Assist with insurance verification, claims processing, denial management and billing inquiries.
- Provide administrative support and document organization.
- Maintain compliance with HIPAA regulations and ensure patient confidentiality.
- Provide customer service and ensure a smooth patient experience.
Subject Matter Expert
Optum Global Solutions
10.2020 - 10.2022
- Managed team's performance by providing monthly trainings, regular feedback, performance reviews, and one-on-one coaching.
- Prepared process documentation and specifications based on client's updates.
- Supported teams in continuous delivery of quality process and services by performing monthly compliance assessments and internal audits.
- Provided expert knowledge on healthcare processes and policies.
- Assisted in the development and implementation of training programs for new hires.
Recovery - Resolutions Representative
Optum Global Solutions
06.2018 - 10.2020
- Investigated and determined whether medical insurance claims are recoverable or non-recoverable by correctly reviewing diagnoses and procedure codes.
- Reviewed plan language and submitted Medical Payment Summary to providers and attorneys that is necessary for recovery.
Senior Revenue Cycle Executive
Access Healthcare Services
05.2014 - 01.2016
- Experienced healthcare professional with a strong focus on detail and expertise in medical billing and resolving claims.
- Skilled in handling various responsibilities, prioritizing quality patient care, and maintaining adherence to healthcare regulations.
Revenue Cycle Executive
Dell International Services
05.2012 - 04.2014
- Handled patient accounts and processed insurance claims.
- In-depth understanding of medical terminology and healthcare operations.
- Proficient in medical billing software and electronic health records.
- Proficient in Microsoft Office Suite and healthcare databases.
Education
Bachelor of Science - Nursing
Emilio Aguinaldo College
10.2020 - 04.2023
Skills
- Medical background (Registered Nurse)
- Experience with US EHR systems: AthenaHealth, Subrotrack, Unet, Cosmos, Troveris, Practice Fusion, Fusion and Canadian EHR: Accuro, Oscar, Ps Suite
- Strong communication skills (both verbal and written)
- Expertise in medical terminology and healthcare procedures
- Ability to multitask and work efficiently in a remote setting
- Familiarity with insurance policies and medical billing processes
- Proficiency in Microsoft Office and Google Workspace
- High attention to detail and organizational skills
- HIPAA compliant and understanding of patient confidentiality
Certification
Registered Nurse, 2008
Timeline
Healthcare Virtual Assistant
HelloRache
11.2022 - Current
Subject Matter Expert
Optum Global Solutions
10.2020 - 10.2022
Bachelor of Science - Nursing
Emilio Aguinaldo College
10.2020 - 04.2023
Recovery - Resolutions Representative
Optum Global Solutions
06.2018 - 10.2020
Senior Revenue Cycle Executive
Access Healthcare Services
05.2014 - 01.2016
Revenue Cycle Executive
Dell International Services
05.2012 - 04.2014
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