Looking for a job

Elysia Marie Espiritu

@elysiamarieespiritu

Medical Virtual Assistant at CLS Health Clinic coordinating referrals and patient scheduling with eClinicalWorks.

At CLS Health Clinic - Texas, I coordinated patient referrals and scheduled appointments in eClinicalWorks. I also verified insurance eligibility and followed up on pending referrals to help prevent delays in care.

At Med-Metrix International PH-II, I verified insurance benefits and submitted and tracked prior authorization requests for Oncology, Cardiology, and Radiology services. I achieved a 98% authorization approval rate and was recognized as Top Associate of the Year (2024), then promoted as a Subject Matter Expert.

At NTT DATA, I managed medical accounts receivable and followed up on unpaid insurance claims. I investigated denials, underpayments, and payment discrepancies with insurance representatives.

Earlier, at Concentrix, I assisted members with insurance eligibility, benefits, claims, and billing inquiries. At Salve Regina Hospital, I provided direct patient care and supported medical staff.

Experience

Work history, roles, and key accomplishments

Medical Virtual Assistant

CLS Health Clinic

Jun 2025 - Jul 2026 (1 year 1 month)

Coordinated patient referrals and scheduled appointments using eClinicalWorks. Verified insurance eligibility and tracked authorizations to ensure timely patient care.

eClinicalWorks Patient Scheduling Insurance Verification Referral Coordination Prior Authorizations Document Management

Insurance Verification and Prior Authorization Specialist

Med-Metrix International PH-II

Jan 2023 - May 2025 (2 years 4 months)

Verified insurance eligibility and submitted over 50 prior authorization requests daily. Achieved a 98% approval rate and was recognized as Top Associate of the Year.

Insurance Verification Prior Authorizations Epic ICD 10 CPT HCPCS Claims Processing Document Management

Senior Collection Representative

NTT DATA

Mar 2022 - Jan 2023 (10 months)

Managed medical accounts receivable and followed up on unpaid insurance claims. Investigated denials and resolved billing issues to improve collections.

Medical Billing Claims Follow Up Accounts Receivable Denial Management Insurance Claims

Customer Service Representative

Concentrix

Sep 2020 - Mar 2022 (1 year 6 months)

Assisted members with insurance eligibility, benefits, claims, and billing inquiries. Documented interactions accurately while meeting quality and productivity goals.

Customer Service Insurance Eligibility Claims Billing Documentation

Nursing Aide

Salve Regina Hospital

Oct 2018 - Jan 2020 (1 year 3 months)

Provided direct patient care including monitoring vital signs and administering oral medications. Assisted patients with daily living activities and supported medical staff.

Patient Care Vital Signs Monitoring Medication administration Patient Assistance