MARK ESCABAS
MEDICAL VIRTUAL ASSISTANT
PROFILE
Results-driven medical insurance professional with 4 years
of experience in member/provider support, specializing in
eligibility verification, claims processing, and authorizations.
Twice promoted (Coach to Top Trainer) for leadership
excellence, with proven success in team mentoring and
process improvement. Skilled communicator focused on
compliance
CONTACT ME
--
SKILLS
and
delivering
exceptional
customer
experiences while driving operational efficiency.
EXPERIENCE
HEALTHCARE ADVOCATE
ResultsCx-
Medical Insurance Verification
Provided
(Eligibility & Benefits)
eligibility,
Claims Processing &
communication and timely resolution of inquiries. Helped
Adjudication (CMS-1500, UB-04)
Prior Authorization Coordination
Medical Billing & Coding Basics
(CPT, ICD-10)
navigate
expert
assistance
benefits,
complex
and
to
members
coverage,
insurance
regarding
ensuring
policies
to
clear
maximize
healthcare access.
Managed claims-related inquiries, including denials,
adjustments,
and
reimbursements,
while
ensuring
accuracy and compliance with insurance guidelines.
Customer Service
Advocated for members to facilitate fair and efficient
CRM Salesforce
claims outcomes.
Multitasking in Fast-Paced
Processed and tracked prior authorizations and referrals,
Environments
working closely with providers to secure necessary
Cultural Competency in Patient
Interactions
Problem-Solving for
Claims/Authorization Issues
approvals for treatments. Reduced delays by proactively
following up on pending cases.
Served as a liaison between healthcare providers and
insurance carriers, addressing billing discrepancies,
claim disputes, and coverage verification to streamline
patient care delivery.
