Nathaniel Mark Esquillo

HELLO, MY NAME IS Nathaniel Mark Esquillo Medical Virtual Assistant @imnate17 www.linkedin.com/in/nathaniel-markesquillo-a About Me Hi, I’m Nate! I’m a 22-year-old customer support professional with 2 years of experience specializing in the medical healthcare industry. I have a strong background in medical terminology, insurance procedures, and appointment scheduling, combined with excellent communication skills and a compassionate approach. My goal is to become a successful Medical Virtual Assistant, leveraging my expertise and dedication to provide efficient and empathetic support to clients and patients. Let’s work together to ensure seamless care and exceptional service for your clients and patients! Expertise PRIOR AUTHORIZATION Review the status and request prior authorization from the provider if the services are required. INSURANCE VERIFICATION Check the plan status to confirm if it is active, and verify eligibility and coverage. MEDICATION REFILLS Assist patients with refilling their medications at their local pharmacy, discuss copay and coverage levels, perform a formulary lookup to confirm if the medication is covered, and handle tier exceptions and overrides as needed. APPOINTMENT SCHEDULING Coordinate and schedule appointments, ensuring availability aligns with patient preferences and provider schedules while verifying necessary details such as service type and insurance coverage CLAIMS MANAGEMENT IN MEDICAL BILLING Provide information on the date of service, name of the provider, claim status (approved or denied), type of service, CPT code, in-network (INN) or out-of-network (OON) provider status, total charges, and member responsibility." Personal Skills and other Expertise TIME MANAGEMENT MEDICAL KNOWLEDGE MULTITASKING HANDLING INBOUND AND OUTBOUND CALLS EMAIL MANAGEMENT NEW PATIENT INTAKE/ DATA ENTRY COMMUNICATION QUOTING MEDICAL BENEFITS TECHNICAL PROFICIENCY ATTENTION TO DETAIL ADAPTABILITY TIME MANAGEMENT PROBLEM SOLVING CUSTOMER SERVICE TELEHEALTH SUPPORT KNOWLEDGE WITH 3RD PARTY TECHNICAL SUPPORT MEDICAL TERMINOLOGY DIAGNOSIS AND CPT CODING - OPTUM GLOBAL SOLUTIONS| ALABANG PH HEALTHCARE ADVOCATE- UNITED HEALTH CARE Provided support to members and providers across the United States, specializing in Medicare and Medicaid services. Handled plan verifications, profile updates, benefit quoting, and medication requests. Processed prior authorization requests and ensured compliance with healthcare guidelines. Scheduled appointments for doctors and patients, ensuring coordination with health plan requirements. Conducted outbound calls to check in with patients and promote the utilization of health plan benefits at no additional cost. Demonstrated a strong understanding of medical terminologies, CPT codes, insurance coverage, and provider networks (INN/OON). Delivered exceptional customer service with a compassionate approach, maintaining high satisfaction scores. C E R TIF I C A T E O F COMPLETION C U S TOM E R S U R V E Y SATISFACTION My ability to handle calls with a compassionate approach has been praised by both clients and colleagues, resulting in positive feedback and high customer satisfaction scores. Why work with me? I bring a unique blend of professional expertise, strong work ethics, and a passion for helping others. With over two years of experience in healthcare support, I understand the importance of providing exceptional service and delivering results that exceed expectations. Integrity: I believe in honesty and accountability. I ensure that every task is approached with transparency and a commitment to doing what is right, building trust with colleagues and clients alike. Compassion: My empathetic approach allows me to connect with people on a personal level. Whether assisting patients or supporting clients, I strive to create a positive and understanding environment. Inclusivity: I value diversity and believe in creating an environment where everyone feels respected and heard. I adapt seamlessly to different teams, cultures, and personalities, ensuring collaboration and mutual respect. Passion: My dedication to my work drives me to go above and beyond. I am genuinely committed to delivering excellence and making a meaningful impact in the lives of those I assist. By combining these core values with my technical skills and professional background, I am confident in my ability to contribute effectively to any team or project. If you're looking for someone who brings heart, skill, and purpose to their work, I’m the right fit for you! GET IN TOUCH Let’s Work Together! Looking for a reliable professional to streamline your healthcare support? With expertise in prior authorizations, insurance verification, medication refills, appointment scheduling, and claims management, I bring accuracy, efficiency, and compassion to every task. Let’s connect to discuss how I can support your practice, enhance patient care, and simplify processes. Reach out today—I’m excited to partner with you! EMAIL- 19