Available for US EST / PST hours

Healthcare admin,
handled with care.

I'm Edrelyn Manzano, a Healthcare Administrative Specialist and Virtual Assistant with 1+ year of hands-on experience in insurance eligibility, prior authorization, claims processing, and HIPAA-compliant patient communication.

1+
Year experience
50-70
Calls handled / day
100%
HIPAA compliant
EM

Edrelyn Manzano

HIPAA-trained

PHI handling

About

A detail-driven partner for busy healthcare practices.

I support US-based healthcare providers with the administrative work that keeps clinics running — eligibility checks, prior authorizations, claims follow-up, scheduling, and EHR data entry — all done remotely with accuracy and HIPAA compliance.

My background spans two of the Philippines' largest BPO healthcare accounts, where I handled 50–70 inbound calls a day across member services, billing, and plan management. I bring that same calm, organized energy to every provider I work with.

Remote-readyEnglish (Professional)Filipino (Native)Manila, PH
What I do

Services that keep your practice moving.

A focused suite of remote admin services tailored for US healthcare providers and clinic owners.

Patient Scheduling

Organize provider calendars, book appointments, and send timely email reminders to reduce no-shows.

Insurance Eligibility

Pre-appointment verification across payer portals so coverage issues never derail the schedule.

Prior Authorization

Submit and track prior auth requests with correct CPT and ICD-10 codes; escalate urgent cases.

Claims Processing

Submit, track, and resubmit corrected claims via Availity to minimize denials and revenue leakage.

EHR / EMR Data Entry

Accurate patient intake and chart updates in NextGen, Epic, Athena, and eClinicalWorks.

Prescription Coordination

Coordinate refills and pharmacy follow-ups so patients never run out of needed medication.

Member & Provider Support

Explain EOBs, deductibles, and out-of-pocket limits with empathy and clarity.

Telehealth Admin

End-to-end admin support for virtual visits — intake, documentation, and follow-up.

Working with me means

  • Your schedule stays organized and stress-free
  • Time-consuming tasks handled so you can focus on growth
  • Smooth, predictable daily operations
  • Professional communication with your clients
  • Improved productivity and efficiency
  • A true partner — not just a task-doer
Work experience

Where I've put in the hours.

  1. Healthcare Customer Service Representative

    Apr 2024 — Jul 2024

    Firstsource Solutions · McKinley Hill, Taguig City

    • Provided remote healthcare admin support for US-based clients: insurance verification, claims follow-up, and preauthorization coordination in a HIPAA-compliant environment.
    • Investigated payment discrepancies and resolved billing disputes within SLA timeframes.
    • Resubmitted corrected claims and followed up on pending claims to minimize revenue leakage.
    • Maintained thorough case documentation in compliance with data privacy and QA standards.
  2. Healthcare Customer Service Representative

    Nov 2022 — Aug 2023

    Teleperformance Philippines · Alphaland, Makati City

    • Handled 50–70 inbound healthcare calls daily — member services, billing, refills, and plan management — while maintaining high CSAT scores.
    • Processed and tracked electronic insurance claims via Availity, catching errors pre-submission to reduce denials.
    • Conducted pre-appointment eligibility verification, keeping CRM records accurate.
    • Facilitated prior authorization requests using CPT and ICD-10 codes; escalated urgent cases.
    • Explained EOBs, co-insurance, deductibles, and OOP limits to members and providers.
  3. Bachelor of Science in Hotel and Restaurant Management

    Lyceum of the Philippines University · 2007–2011

Projects & samples

A look at recent work.

Full Google Drive portfolio
PS
athenaNet

Patient Scheduling Workflow

Built a weekly provider calendar in athenaNet covering 4 providers with color-coded appointment types and availability blocks.

CP
Availity

Claims Processing Tracker

Maintained a monthly claims tracker — submitted, paid, pending, and denied — with action items to keep AR clean.

ED
NextGen

EHR Data Entry

Updated patient charts in NextGen with lab results, metabolic panels, and provider documentation.

AR
Gmail / Workspace

Appointment Reminders

Drafted and sent professional confirmation emails with visit details, prep instructions, and reschedule policies.

PT
Excel / Sheets

Preauthorization Tracker

Logged prior auth requests with status, payer, CPT codes, and follow-up dates to prevent care delays.

PI
Open Dental / Dentrix

Patient Intake & Billing

Captured new patient intake, insurance details, and posted charges in dental practice management tools.

Tools & software

The stack I work in daily.

CRM

Salesforce

Claims Portal

Availity

EHR / EMR

EpicAthenaeClinicalWorksNextGen

Dental

Open DentalDentrix

Office

MS WordExcelOutlookGoogle Workspace

Communication

ZoomSlackVoIP
Let's talk

Ready to take admin work off your plate?

I'd love to hear about your practice and how I can help. Send me a note — I usually reply within one business day.

Email
manzanoedrelyn05@gmail.com
Phone
+63 939 865 2199
Based in
Manila, Philippines