Joy Michelle Olojan

Dedicated and detail-oriented Healthcare Virtual Assistant with over 1 year of experience and 6+ years of background in the BPO healthcare industry. Experienced in claims and billing support, insurance verification and benefits, prior authorization coordination, healthcare administration, and payer follow-up. Organized, adaptable, and committed to providing accurate and efficient administrative support in a fast-paced healthcare environment.

Healthcare Virtual Assistant - Hello Rache

(2025-04 - 2026-08)

• Manage claims and billing support, including reviewing denied, rejected, and unpaid claims and determining appropriate follow-up actions.
• Verify insurance eligibility and benefits and coordinate with the Benefits Team to ensure accurate coverage and billing information.
• Coordinate with the Authorization Team to monitor authorization status and confirm approvals prior to claim submission.
• Communicate with insurance payers regarding claim status, denials, reprocessing, payment status, and required next steps.
• Prepare and submit reconsiderations, appeals, and claim corrections, while maintaining accurate documentation of payer communications, authorizations, and follow-up activities.

MSK Orthonet Provider Services / Optum PHCC (Physical Health Call Center) Representative - Optum

(2022-10 - 2025-01)

• Receiving inbound calls for checking of submitted prior authorization if approved or denied (Therapy: PT, OT, Speech), Pain Management, Vascular, and Spine.) Also for checking of medical claims, credentialing (In Network/Out of Network), and member's benefits.
• Top Agent for the month of February and March 2023 (With a total score of 99.83%).
• Top Agent for the month of May - September 2024 (With a total score of 5).

Subject Matter Expert Intern - Optum

(2023-11 - 2024-05)

• Assisting Team Lead and SME.
• Supporting the Team regarding the lob process and calls.
• Receiving/Taking sup calls.
• Monitoring service levels team.
• Collaboration and Calibration with QAs/ Supervisors/Assc Director.

Clinical Admin Coordinator - Optum

(2018-11 - 2022-10)

• Responsible for initial triage of members, administrative, intake of members of managing the admission/discharge, information post-notification, working with hospitals and the clinical team.
• Creating Referrals for member's diagnosis related, data entry.
• Doing Outbound calls, checking member(s) still inpatient or discharge.

Number Porting Specialist - Teletech

(2017-08 - 2018-03)

• Processes and manages requests for transferring phone numbers between different carriers, from previous network to new chosen network.
• Ensuring accuracy and timely completion and providing customer support and troubleshooting

Branch Secretary - Fundline Finance Corporation

(2018-04 - 2018-10)

• Helping customers lend capital for their micro businesses, personal, gadget appliance, calamity, and educational loans.
• Answering calls from customers regarding their concerns, providing solutions, monitoring collected payments, and data entry.

Bachelor of Science - Psychology (2013 - 2017)