Rose Merylyn Jean Sarvida Monter

I’m a detail-oriented Healthcare Virtual Assistant with 6+ years of experience in U.S.-based healthcare support admin and customer service. I specialize in insurance verification, prior authorizations, medical documentation, and patient coordination, with proven ability to handle high-volume tasks quickly and accurately while ensuring HIPAA compliance.

💻 What I Do Best:

• Prior Authorizations & Insurance Verification: Process 15+ prior authorizations/referrals per hour and confirm benefits/eligibility directly with payers, ensuring timely approvals and uninterrupted patient care.
• Medication & Medical Records Management: Handle 60+ medication refills per hour and audit/release 45+ medical records per hour with strict HIPAA compliance, supporting safe prescribing practices and accurate documentation.
• Claims & Billing Support: Submit, track, and follow up on insurance claims, reducing denials.
• Quality Assurance & Compliance: Conduct medical record audits and call reviews, generate KPI/compliance reports, and provide data-driven insights to improve accuracy, adherence, and team performance.
• Healthcare Team Support: Trained, coached, and guided teams on medical terminology, EMR navigation, and healthcare workflows as an SME/Experience Champion, ensuring consistency across multiple teams.
• Patient & Provider Communication: Handled inbound/outbound patient calls regarding benefits, coverage, claims, and authorizations with empathy and professionalism.
• Customer & Client Relations: Built a strong foundation in customer service and healthcare account management, resolving billing concerns, scheduling issues, and product inquiries across phone, email, and chat.

⚡ Tools & Platforms I Use:

• EMR/EHR: Athena, ECW, CareConnects, ICBM
• Insurance Portals: Availity, Noridian, Cigna, UHC, Regal, and others
• CRM & Communication: Google Workspace, Microsoft Office, RingCentral, Avaya, VOIP systems

🌟 Why Work With Me?

I work with minimal supervision, meet deadlines consistently, and bring both speed and accuracy to every task. My background in Quality Assurance ensures not just productivity, but also compliance and reliability.