MEDICAL VIRTUAL ASSISTANT · HEALTHCARE OPERATIONS SUPPORT
Accurate Healthcare Support for Teams That Depend on Reliable Revenue Cycle Operations.
I’m John Nicole Jepsane, a Medical Virtual Assistant with over five years of experience supporting U.S. healthcare operations through revenue cycle management, provider services, insurance verification, claims follow-up, appeals support, and quality assurance.
5+ Years in U.S. Healthcare Operations · RCM Support · Provider Services · Quality Assurance
HEALTHCARE SUPPORT EXPERTISE
Reliable Support Across Healthcare Operations and Revenue Cycle Workflows
With experience supporting U.S. healthcare accounts, I provide detail-focused assistance across revenue cycle processes, provider services, insurance verification, claims resolution, and quality assurance.
Revenue Cycle Support
Support for healthcare AR workflows, claims follow-up, denied or underpaid claims review, EOB analysis, payer communication, appeals documentation, and reimbursement-related follow-through.
Insurance Verification & E&B
Verification of patient eligibility, coverage and benefit details, payer requirements, provider information, and documentation needed to support accurate healthcare workflows.
Provider Support
Professional support for provider inquiries, claim status concerns, billing questions, eligibility information, appeals-related documentation, and healthcare account communication.
Quality Assurance & SOP Support
Healthcare quality auditing, workflow gap identification, SOP development, performance reporting, documentation review, and process improvement support.
PROFESSIONAL EXPERIENCE
Healthcare Experience Built Across Provider Support, Revenue Cycle, and Quality Assurance
My background spans multiple stages of U.S. healthcare operations—from provider inquiries and eligibility verification to claims resolution, accounts receivable follow-up, appeals support, and quality auditing.
Optum | October 2024 – February 2026
Conducted healthcare quality audits to support accuracy, compliance, and consistent operational performance. Identified workflow gaps, developed SOPs and quality measurement tools, and collaborated with operations and client stakeholders to improve healthcare account processes.
Quality Auditing · SOP Development · Workflow Improvement · Performance Reporting
Optum | July 2021 – September 2024
Supported healthcare revenue cycle operations through AR collections, insurance follow-ups, denied and underpaid claims review, EOB analysis, payer policy review, claim corrections, and appeals submission to improve reimbursement outcomes.
Healthcare AR · Claims Follow-Up · Denial Review · Appeals Support
Customer Associate
Optum | November 2020 – April 2021
Handled patient communication for medication refill requests, verified patient information, prescriptions, and eligibility through EMR workflows, and coordinated refill approvals with providers and pharmacies.
Provider Contact Center Representative
Conduent Philippines | May 2019 – August 2020
Assisted providers supporting U.S. healthcare accounts by handling inquiries, verifying insurance eligibility and benefits, resolving claims and billing concerns, and supporting appeals-related documentation.
Provider Support · Eligibility & Benefits · Claims Assistance · Billing Concerns
A Structured Approach to Healthcare Support
01 — Verify
Verify Key Information
Eligibility · Benefits · Provider Details · Claim Information
02 — Review
Review the Workflow Details
EOB Review · Claim Status · Documentation · Audit Review
03 — Support Resolution
Support the Next Action
Follow-Up · Appeals Support · Provider Coordination · Claims Assistance
04 — Document
Support the Next Action
Accurate Notes · Reporting · Documentation Review · Process Records
05 — Improve
Identify Process Opportunities
Quality Assurance · SOP Development · Workflow Gaps · Process Improvement
ADDITIONAL CREATIVE EXPERTISE
Creative Digital Support for Professionals and Small Businesses
Alongside my healthcare operations background, I also develop clean,
organized digital materials that help professionals and service-based
brands present themselves more clearly online.
Web Design
Clean and structured website layouts for personal portfolios, landing pages, healthcare professionals, and small service-based businesses—designed for clarity, mobile responsiveness, and professional credibility.
Portfolio Websites · Landing Pages · WordPress Layouts · Website Redesign
Graphic Design
Professional digital visuals for social media, service promotions, presentations, portfolio branding, and informative content that needs to look clear, consistent, and engaging.
Social Graphics · Promotional Designs · Presentation Assets · Brand Visuals
WHY WORK WITH ME
Dependable Healthcare Support Backed by Experience and Process Discipline
I bring a detail-focused and structured approach to healthcare operations, shaped by hands-on experience in provider services, revenue cycle support, claims follow-up, appeals documentation, and quality assurance.
Accuracy in the details. Accountability in the process. Professionalism in every interaction.
Healthcare Experience Across Multiple Workflows
Over five years of experience supporting U.S. healthcare operations across provider inquiries, eligibility and benefits, patient-related coordination, revenue cycle workflows, and quality auditing.
Strong Understanding of Claims and AR Follow-Through
Experienced in healthcare AR collections, insurance follow-ups, EOB review, denied and underpaid claims, payer-related corrections, and appeals documentation support.
Built Around Accuracy and Process Improvement
My quality analyst background strengthened my ability to identify workflow gaps, support audit accuracy, develop SOPs, and contribute to more consistent healthcare operations.
Comfortable Supporting Providers and Healthcare Teams
Experienced in communicating around provider inquiries, patient-related workflows, claims concerns, billing questions, and operational requirements with professionalism and attention to detail.
Organized, Careful, and Healthcare-Conscious
I understand the importance of accurate documentation, clear process notes, organized reporting, and privacy-conscious handling of healthcare-related information.
LET’S CONNECT
Looking for Reliable Healthcare Virtual Support?
I’m open to opportunities involving medical virtual assistance, healthcare operations, revenue cycle support, provider services, insurance verification, claims follow-up, appeals documentation, quality assurance, and workflow support.
Contact Information
Email
johnjepsane95@gmail.com
Location
Talisay City, Cebu, Philippines
Availability
Open to remote Medical Virtual Assistant and healthcare operations opportunities