Aisha I.
Insurance Verification & Prior Authorization Specialist
Experience
Aug 2023 - Dec 2023
5 monthsNigeria
Insurance Verification & Prior Authorization Specialist
Integrated Medical Group
- Conducted real-time insurance verifications through Navinet and Availity for 50+ patients per day.
- Submitted prior authorization requests through CoverMyMeds, increasing approval success by 25%.
- Created documentation templates for efficient claim support within Athena, reducing denials by 18%.
- Provided direct patient assistance on payment policies and insurance terms to reduce billing confusion.
Feb 2023 - Jul 2023
6 monthsNigeria
Patient Services Coordinator
Virtual Care Network
- Managed appointment flow for primary care, OB/GYN, pediatrics, and cardiology using Athena and Acuity, reducing no-shows by 20%.
- Collected patient information ahead of virtual visits and ensured seamless telemedicine prep.
- Utilized Availity for pre-visit insurance checks, catching discrepancies early and improving claims success rate.
- Supported bilingual patient communications (English/Hausa), improving engagement and care access for Northern Nigerian clients.
Jan 2021 - Aug 2024
3 years 8 monthsNigeria
Telehealth Virtual Assistant
Healthcare Solutions, Inc.
- Scheduled 150+ weekly appointments across multiple specialties, optimizing physician calendars using Athena and Calendly.
- Verified patient eligibility and benefits using Navinet and Availity, ensuring insurance data accuracy before appointments.
- Assisted in prior authorizations through CoverMyMeds, improving authorization turnaround by 30%.
- Responded to 200+ patient inquiries weekly via RingCentral and Klara, maintaining a 95% satisfaction rate.
- Guided patients in processing copays and insurance payments through online platforms, reducing front-desk workload by 40%.
- Maintained real-time patient records with 100% HIPAA compliance, improving audit readiness.
Summary
Detail-oriented Telehealth Virtual Assistant with 3+ years of experience providing administrative and clinical support across primary care, OB/GYN, cardiology, pediatrics, and wellness specialties. Proven success in patient scheduling, insurance verification (Navinet & Availity), prior authorization (CoverMyMeds), and telemedicine support. Expert in using Athena, Klara, RingCentral, and maintaining accurate, HIPAA-compliant records.
- Athena EHR & Klara
- Patient Intake & Data Management
- Communication & Patient Interaction
- Appointment Scheduling & Telemedicine Coordination
- HIPAA Compliance
- Copay Assistance & Billing Support
- Time Management & Multitasking
- Insurance verification
Languages
Hausa
NativeEnglish
AdvancedEducation
Sep 2008 - Oct 2011
Shehu Idris College Of Health Science And Technology
Medical Laboratory Technician · Makarfi, Nigeria
Certifications & licenses
Adminstrative Assistant
Medical Billing and coding
Virtual Assistant
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