Lyndon Sevilla

Lyndon T. Sevilla About I am a dedicated Virtual Assistant with expertise in supporting professionals and practices. With a strong background in administrative management and patient coordination, I help streamline operations, enhance workflow efficiency, and ensure seamless communication. My skills include appointment scheduling, insurance verification, billing assistance, and patient follow-ups., I provide reliable support to help Providers focus on delivering excellent patient care. Detail-oriented and proactive, I am committed to optimizing practice operations and improving patient experience. GET IN TOUCH Address : Purok 3 Santo Domingo Santa Rosa city Laguna 4026 (Philippines) Phone # :- /- Email :-Teams:- Customer Service Representative DME SERVICE SOLUTIONS INC. SKILLS Knowledge of EHR/EMR systems Data Entry Prior Authorization Insurance Verification Appointment Scheduling Email Management Record Management SOFT SKILLS Fast-Learner Ability to work under pressure Flexibility Time Management Ability to multitask Team Player Outstanding management and supervising abilities Adaptability September 2023 - May 2025 PA Billing Representative for Medicaid all states. Worked specifically as claims denial analyst. Medical Insurance Verification. Validation of Eligibility. Requesting Authorizations CSR back office for Installation and removal process of the device in Mastermind tool. Authorizations Specialist for few Medicaid plan/payers for the state of New York and New Jersey using Salesforce tool and HSYS for documentation. Customer Service Representative SAGILITY PH (FORMERLY HINDUJA GLOBAL SOLUTIONS) AETNA INSURANCE September 2014 - July 2023 CERTIFICATIONS HIPAA Certified Cybersecurity Awareness Training Assist Providers with inquiries related to members insurance coverage and Eligibility, claims, inquiries, Authorizations, Appeals status and Disputes. Processing claims denials and Appeals. Adhering to healthcare policies, while adhering to HIPAA regulations. and company procedures Verified benefits for new and existing patients. Help providers understand coverage rules or obtain authorizations for procedures. Medical Service Representative GLOBAL INNOV8IONS INC. AMERICAN MEDICAL GROUP EDUCATION PhilAsia Center Technology Experience for Science and Manufacturing Engineering Technology- December 2012 - March 2014 Conduct outbound calls to leads, referrals, or existing customers to promote DME products. Assess customer needs and recommend appropriate medical equipment solutions Meet or exceed monthly sales targets and performance metrics. Follow HIPAA and other regulatory guidelines to ensure patient privacy and legal compliance.