Lily

Billing Coordinator / Administrative Assistant

Medical Expert Solutions • Período integral

Jun 2025 - Present • 11 mos

I manage comprehensive billing operations, claims processing, and audit documentation for US pharmacy systems, ensuring accuracy, compliance, and smooth workflow across every stage of the billing cycle. My responsibilities include verifying patient eligibility, reviewing insurance coverage, confirming benefits, and preparing claims with complete and correct information before submission. I handle payer denials by identifying the underlying issue, correcting documentation, gathering required evidence, and resubmitting claims promptly to reduce delays and improve reimbursement outcomes. I maintain detailed, audit‑ready records that meet strict payer, pharmacy, and compliance standards, ensuring that every action is traceable, organized, and properly documented for internal and external review. In addition to billing and claims work, I specialize in secure data entry and professional email management. I manage communication between payers, providers, and internal teams, ensuring that all messages are handled promptly, clearly, and with full confidentiality. My data‑entry responsibilities include updating patient profiles, uploading documents, maintaining spreadsheets, tracking claim statuses, and keeping accurate logs that support efficient billing operations. I follow strict privacy practices to protect sensitive information and maintain compliance with healthcare regulations. I also provide administrative and billing support to small businesses worldwide. This includes managing inboxes, organizing files, preparing reports, tracking tasks, and assisting with day‑to‑day operational needs. My focus is always on accuracy, clarity, and timely delivery. I help clients stay organized, reduce administrative workload, and maintain clean, audit‑ready documentation that supports smooth business operations. With a strong background in healthcare billing, claims processing, and virtual administrative support, I bring reliability, consistency, and a high level of professionalism