Thaiza Dumalagan
@thaizadumalagan
I am an experienced medical virtual assistant specializing in billing.
What I'm looking for
I am a detail-oriented medical virtual assistant with over eight years supporting healthcare operations, medical billing, insurance claims processing, and administrative coordination. I prioritize HIPAA-compliant patient handling and smooth clinical workflows.
I have hands-on experience with EMR/EHR platforms like ChaRMHealth and Athena Health, managing prior authorizations via portals such as Availity, resolving denied claims, and producing billing and appointment reports. I also led a customer service team to improve provider support, coaching staff and maintaining quality metrics.
Experience
Work history, roles, and key accomplishments
Medical Biller
Nest Collaborative Nursing & Lactation Services
May 2023 - Apr 2025 (1 year 11 months)
Verified patient insurance eligibility and submitted accurate claims via ChaRMHealth and Athena Health, resolved denied claims and managed appeals to ensure timely reimbursement and payer follow-up.
Medical Virtual Assistant
Nest Collaborative Nursing & Lactation Services
Apr 2022 - May 2023 (1 year 1 month)
Scheduled and confirmed patient appointments, coordinated telehealth visits, and maintained HIPAA-compliant patient records and documentation to support clinical operations and provider workflows.
Team Leader
Wipro Philippines Ltd.
Mar 2019 - Mar 2022 (3 years)
Led a team of customer service representatives supporting healthcare provider queries, improved quality and productivity through coaching, and handled escalated claims and pre-authorizations.
Customer Service Representative
Wipro Philippines Ltd.
Nov 2017 - Mar 2019 (1 year 4 months)
Handled inbound provider calls regarding claims, authorizations, and patient benefits, created prior authorization requests, and resolved provider concerns while meeting service level standards.
Education
Degrees, certifications, and relevant coursework
Mindanao State University - Marawi
Bachelor of Science, Public Administration (Human Resource Management)
Bachelor of Science in Public Administration with a major in Human Resource Management completed at Mindanao State University - Marawi in 2013.
ARMM Regional Science High School
High School Diploma, Science
Completed secondary education at ARMM Regional Science High School, graduated in 2008.
Parang Elementary School
Elementary School, Primary Education
Completed elementary education at Parang Elementary School, graduated in 2005.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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