Ali Hassan

Medical Virtual Assistant with experience in healthcare administration, specializing in insurance eligibility verification, claims support, and patient intake. Proven expertise in navigating EMR systems, managing provider communication, and ensuring strict HIPAA compliance while handling sensitive patient information and billing inquiries.

Customer Service Representative - Healthcare Account at Optum (2024-01 – Present)

• Manages inbound and outbound calls using a noise-canceling headset to support patients and providers with insurance verification, prior authorizations, claims, and benefits, strictly adhering to HIPAA regulations to protect PHI and maintaining HIPAA Certification.
• Explains healthcare benefits, coverage, and payment processes to members, including Medicare primary status verification, providing care plan explanation, home health and hospice support, and health promotion guidance to ensure clear understanding of available options.
• Navigates Electronic Medical Records (EMR) systems to verify member information and maintain accurate medical documentation in a fast-paced environment.
• Coordinates telehealth and in-person appointment scheduling, admissions, and patient intake forms, providing clear administrative guidance and portal access support.
• Acts as a primary liaison between patients and providers, performing front-desk triage and collaborating with internal departments to resolve member concerns and assist with denied claims resolution efficiently.
• Provides healthcare administration support and manages back-office workflows, including accurate data entry and record management, meeting quality assurance and customer satisfaction standards.

Bachelor of Industrial Technology in Computer Technology – Cebu Technological University (2023-01 – 2024-12)

General Academic Strand (GAS) – Immaculate Conception Institute of Tudela Inc. (2019-01 – 2020-12)