Michael Shan Parrocho

Michael Shan M. Parrocho, BSN PROJECT COORDINATOR MANAGER CLIENT SERVICE MANAGER CERTIFIED HEALTHCARE VIRTUAL ASSISTANT PERSONAL PROFILE A Multi-skilled medical assistant that had been in the industry of remote work for more than 8 years. Experienced in business process outsourcing and team management providing services to different types of accounts. TRAINING & CERTIFICATES HIPAA Certification HelloRache Healthcare Virtual Assistant Certificate Insurance Verification Certificate EDUCATIONAL BACKGROUND Leadership and Management Training Bachelors of Science in Nursing Communication and Customer Service Training Southeast Asian College Inc. SY -) Project Management Training SUMMARY OF CLIENT LIST Blue Cross & Blue Shield Tricare Health Net Alphacare IEHP Anthem Regal Medical Group Medicare Medicaid Johnson & Johnson Athena Aetna Health Providers Offices CONTACT DETAILS Phone: - (Phil. number) Email:--Skype: live:.cid-d859c86 Facebook:- Delivering on the Customer Service Experience Trancending Boundaries for Global Competence MEDICAL VIRTUAL ASSISTANT SKILLS Prior-Authorization Medication PA Pre Determination Pre-Certification Scheduling Appointment New Patient Intake Fax Management Phone Operator Medical Records Management Referral Processing Insurance Eligibility Check Insurance Verification Superbill Entry Claim Status check OTHER TECHNICAL SKILLS Team Management Quality Control Client Relations Sales Management Project Management SOP Creation WORK EXPERIENCE VIRTUAL MEDICAL ASSISTANT HelloRache December 2021 - Present Does administrative tasks as a Virtual Medical Assistant. Calls insurance to check patient insurance eligibility status, and verify coverage and benefits. Requests prior-authorization, and or pre-determination. Enters Superbill, check Claims status, and follow-up on Law of protection invoices. VIRTUAL MEDICAL ASSISTANT RMB Reimbursement March 2020 - November 2021 Verifies Insurance of the patient Checks for coverage and coordination of benefits Checks for Prior Authorizations for procedures and medical equipment if it is medically necessary. Updates patient profile and informs clients of the information. PROJECT MANAGER MedSpecialized Inc. June 2017 - November 2019 Ensure client relations and create plans to address clients' business needs Schedule regular meetings with customers to ensure they are satisfied, and ensure both the company and clients adhere to contract terms. Analyze trends then set-up SOP's and advise clients on creating profitable processes. Act as point of contact for complaints and escalate issues as appropriate, and ensures quality of the team being handled Manages medical documents and records basing on each client protocols while following HIPAA guidelines. Kickstart, set-up SOP's and then train staff of the new process with new or existing clients . Does administrative tasks as a Healthcare Virtual Assistant (Phone operator, Patient Appointment management, and etc.) WORK EXPERIENCE CLAIMS SPECIALIST Teletech September 2016 - April 2017 Processes appliance warranty of customers of Sears Determines eligibility, assess and process technical claims for appliances for possible replacements Dispatch technicians for claims assessments and for possible appliance repair Manages a team of 3-5 Dispatch technicians to assess claims and appliance status SUBJECT MATTER EXPERT Convergys November 2013 - March 2016 Helps Tier 1 asses for connectivity concerns and troubleshoots issues that cannot be resolved on their end. Trains new and tenured technicians and updates policies and procedures. Conducts Coaching and Training for staff. Manage and find a resolution for customers concerns, mostly for internet connection issues. ASSISTANT TEAM LEADER Expert Global Solutions March 2012 - September 2013 Assist Team Lead with admin tasks, also helps manage the team. Performs quality checks on the teams performance. Manage and find the a solution for customers concern about their mobile phone service. MEDICAL SERVICES SENIOR ASSISTANT Accenture July 2011 - January 2012 Reach out to Medicare and Medicaid members to remind them of their medical services. Assess medical treatment and conditions that they need Reminds members with their health coverage and other services. Sets-up appointments with their Medical Providers/Doctors for continued medical care.