Arvin Pala

I am a Healthcare and Insurance Verification Specialist with 8+ years of experience in BPO and healthcare support environments, specializing in insurance eligibility, medical records processing, and back-office operations.

I have extensive experience handling high-volume, time-sensitive healthcare workflows, including insurance verification, prior authorization support, claims follow-ups, and medical documentation management. I am highly familiar with EMR/EHR systems such as Epic and Brightree, as well as insurance and healthcare tools including Availity, Fast Auth, Salesforce, and payer portals.

Throughout my career, I have consistently maintained high accuracy, met strict deadlines, and exceeded performance KPIs in both healthcare and non-voice support roles. I am highly detail-oriented, adaptable, and experienced in working in remote/WFH environments with minimal supervision.

🏥 Healthcare Virtual Assistant | Insurance Verification & Medical Records Specialist

Remote | 2019 – Present

• Perform insurance eligibility verification, benefits checking, and prior authorization processing for healthcare providers

• Manage and process medical records retrieval, documentation, and compliance support in fast-paced healthcare environments

• Handle medical billing support, claims follow-ups, and denial coordination to ensure accurate processing and resolution

• Utilize EMR/EHR systems including Epic and Brightree for patient data management and documentation

• Coordinate with healthcare providers and insurance payers using portals such as Availity, Fast Auth, and other payer systems

• Maintain high accuracy in data entry, document validation, and case tracking under strict deadlines

• Support back-office healthcare operations with strong attention to detail and confidentiality (HIPAA-compliant environments)

Healthcare / BPO Industry | 2017 – 2019

• Processed, organized, and validated medical records and patient documentation for healthcare facilities

• Managed high-volume fax intake, scanning, indexing, and routing of medical documents

• Ensured accuracy and completeness of patient records for clinical and insurance use

• Collaborated with healthcare teams to support record retrieval and compliance requirements

• Handled time-sensitive documentation requests with strict adherence to deadlines

Various Accounts | 2017 – 2025

• Provided customer support in healthcare, financial fraud analysis, and telecom accounts

• Worked as a fraud analyst handling financial account investigations and dispute resolution

• Performed data entry, case documentation, and back-office processing with high accuracy

• Consistently met and exceeded KPIs including productivity, quality, and turnaround time targets

• Experienced in both voice and non-voice environments, with strong preference for non-voice healthcare operations

BS-Architecture