Marlyn M.
Active 4 weeks agoVirtual Assistant | Healthcare Admin Support | Insurance Verification | Prior Authorization
About
I am a Healthcare Virtual Assistant with over 2 years of experience specializing in insurance verification, prior authorization, and patient intake for sleep study services and DME (CPAP/BiPAP). I am skilled in using EHR systems and payer portals such as Azalea Health, Availity, eviCore, Cohere, and Carelon, ensuring accurate and timely processing of authorizations. I am detail-oriented, reliable, and committed to clear communication, efficient coordination, and maintaining HIPAA-compliant workflows.
Skills
Work Experience
Healthcare Associate - Verification of Benefits Specialist
Strategic Office Support
Mar 2023 - Aug 2025
Specialized in insurance verification and prior authorization for sleep study services and DME (APAP/CPAP/BiPAP) equipment. Responsible for verifying patient eligibility and benefits, identifying coverage details, and determining authorization requirements across various insurance payers. Submitted, tracked, and followed up on prior authorization requests through payer portals such as Availity, eviCore, Cohere, and Carelon, ensuring timely approvals and accurate documentation. Coordinated closely with providers, insurance representatives, and internal teams to resolve authorization issues, clarify requirements, and prevent delays in patient care. Utilized EHR systems (Azalea Health) to update patient records, maintain documentation accuracy, and monitor authorization status. Maintained HIPAA compliance while ensuring efficient workflow, attention to detail, and clear communication.
Resume Formatter
EMAPTA
Aug 2022 - Nov 2022
Worked on a project-based engagement as a Resume Formatter, formatting and optimizing resumes based on client requirements and industry standards. Ensured ATS-friendly formatting, proper structure, and clarity to improve readability and presentation. Collaborated with internal teams to deliver high-quality outputs within deadlines.
Customer Service Representative
EXL Service Philippines, Inc.
Sep 2020 - Jan 2022
Provided customer support for Aetna members, handling behavioral health and general inquiries. Assisted with benefits verification, plan information, and service guidance while ensuring accurate and professional communication. Resolved customer concerns efficiently while maintaining compliance with company and healthcare standards.
Customer Service / Technical Support Representative (Tier 1)
Teleperformance
Dec 2018 - Jan 2020
Provided front- and customer support by troubleshooting basic technical issues and assisting customers with account and service-related concerns. Delivered clear instructions and solutions while maintaining high customer satisfaction and adherence to support protocols.
Administrative Assistant / Billing & Collections Specialist
J. King & Sons Company Inc.
Jun 2014 - Jun 2018
Assisted in administrative coordination of condominium unit transactions, including drafting and processing legal documents such as Contracts to Sell and Deed of Absolute Sale. Coordinated document signing, notarization, and filing for internal and external stakeholders. Supported billing and collections processes by preparing Statements of Account and maintaining financial records, ensuring accurate documentation and organized record tracking.
Education
Bachelor of Science in Information Systems
University of Cebu
Information Systems
2010 - 2014