Aisha Ibrahim

Insurance Verification & Prior Authorization Specialist

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Kaduna, Nigeria

Experience

Aug 2023 - Dec 2023
5 months

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 months

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 months

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.

Skills

  • 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

  • Athena

  • Klara

  • Navinet

  • Availity

  • Covermymeds

  • Ringcentral

  • Epic

  • Cerner

  • Google Workspace

  • Microsoft Office

  • Calendly

  • Acuity Scheduling

Languages

English
Advanced
Hausa
Advanced

Education

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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