Careful, in-scope support for a clinic team
I am a Medical Virtual Assistant — Meltoch Telehealth Academy training completed — with a focus on medical transcription and documentation. My MTA practicum covered medical transcription and documentation alongside charting, insurance and billing, at 20+ cases per week. I provide careful, in-scope support: transcribing and writing notes the provider can sign, keeping the chart clean, registering patients accurately, checking insurance before anyone promises coverage, billing the visit correctly, and flagging safety problems to the provider promptly — never deciding them myself.
My background combines hands-on healthcare exposure — a hospital internship and a supervised MVA practicum in real EHR systems — with data-annotation work where following guidelines exactly, and catching where a description doesn't match what actually happened, was the whole job. That discipline transfers directly: a chart, like a label, is only useful if it matches the source.
Based in Benin City, Edo State, Nigeria (WAT), working remotely, with fluent English.
What I bring to a clinic
- Accuracy on the details that cause denied claims
- Notes that separate what a patient said from what was measured
- Privacy handled as a habit, not an afterthought
- Safety flags escalated to the provider — fast, and first
Skills at a glance
Every skill here is demonstrated in the case study on this page — not just listed.
Medical transcription
My lead skill — from my MTA Medical Virtual Assistant + Transcription practicum (Sep–Oct 2026): SOAP and DAP notes transcribed and documented in TherapyNotes and DrChrono, 20+ cases per week, at 90+ WPM. HIPAA certified.
Patient intake
Full registration, medical history, insurance copied from the card, consent and privacy choices, plus a follow-up list for anything missing.
EHR charting
9 mock chart screens — demographics, insurance, allergies, meds, problem list, appointment, vitals, visit note, provider message.
Insurance verification
Portal eligibility check with reference number: in-network status, copay, deductible, coinsurance, out-of-pocket max, timely filing.
Cost calculation
Charge $305 → allowed $209 → write-off $96. Patient total $83.80, with $53.80 still owed after the $30 copay.
Clinical notes
SOAP note for the visit, DAP note for the follow-up call — patient-reported vs measured, kept strictly separate.
Billing — CMS-1500
Box 28 total charge $305; Box 29 amount paid $30 (copay only); diagnosis pointers matched to each service line.
Privacy & scope
Family told about appointments and bills only; voicemail is clinic name + callback only; no refill ever approved or denied by the VA.
Experience
Medical Virtual AssistantPracticum
Medical Virtual Assistant + Transcription practicum focused on medical transcription and documentation in TherapyNotes and DrChrono: transcribing and documenting SOAP and DAP notes, plus intake, registration, scheduling and record updates, and handling sensitive information under HIPAA rules — 20+ cases per week. Completed the full case study featured on this page.
Multimodal Data Labelling
Labelled image, text, audio and video data to project guidelines — 100+ hours of guideline-driven, consistency-checked work. The discipline behind it (label what you actually see, flag what is unclear, never guess) is the same discipline safe charting needs.
Hospital Intern
Early hands-on exposure to a working hospital environment alongside my microbiology training — patient flow, laboratory context, and how clinical teams actually communicate.
B.Sc. Microbiology — Second Class Upper
Plus: HIPAA Certification (Stampwell, 2026). Typing speed 90+ WPM.
One patient, intake to claim
Patient: Rosalind M. Carter, 55 — SAMPLE, FICTIONAL PATIENT. Clinic: Lakeside Family Health, Dr. Naomi Okafor. Reason: follow-up for type 2 diabetes, high blood pressure and high cholesterol. The SOAP and DAP notes in this case are transcribed documentation — transcription samples from the practicum.
Registration by phone
Registered by phone; insurance copied from the card; member-ID mismatch caught and listed for follow-up (see “What I caught” below).
Eligibility verified before the visit
BlueHarbor PPO Select verified active; $50 deductible left, $2,600 out-of-pocket left — so no one promised coverage the plan wouldn't pay.
9:30 AM follow-up visit
A1c and lipid panel drawn; SOAP note transcribed and documented for provider review — a transcription / documentation sample — with what she reported kept separate from what was measured (BP 138/86, BMI 31.1).
UrgentThree refill requests triaged
Amoxicillin flagged first — a penicillin-allergy conflict the pharmacy's own record had missed. Routed to Dr. Okafor before the two routine refills.
Results passed on, next step booked
DAP note transcribed and documented — a transcription / documentation sample: lab results passed on in plain words, with no interpretation; BP recheck booked for 12/01/2026, 10:00 AM.
Insurance & cost, visualised
The hardest part of the case — and the part where one wrong step changes every total that follows.
| Service (CPT) | Charge | Allowed | Write-off | Patient pays | Plan pays |
|---|---|---|---|---|---|
| 99214 — Office visit | $185.00 | $140.00 | $45.00 | $30.00 (copay) | $110.00 |
| 83036 — Hemoglobin A1c | $45.00 | $28.00 | $17.00 | $28.00 (deductible) | $0.00 |
| 80061 — Lipid panel | $60.00 | $32.00 | $28.00 | $24.00 | $8.00 |
| 36415 — Blood draw | $15.00 | $9.00 | $6.00 | $1.80 | $7.20 |
| TOTAL | $305.00 | $209.00 | $96.00 | $83.80 | $125.20 |
Five things this case caught
Small details, expensive consequences. Catching them is the job.
Member ID — two digits swapped
She read her member ID aloud as BHP-4471-20983; the card says BHP-4471-20938. I billed from the card, digit by digit, and listed the mismatch for follow-up — billing the spoken version would have meant a denied claim.
Address — an old one still on file
She moved in August 2026. The old address (310 Elm Court Dr) is marked outdated and never used on the claim; the chart and claim use 4821 Magnolia Ridge Dr, Apt 3B.
Privacy — who can be told what
Her husband Jerome may be told about appointments and bills only — never test results. Voicemail is clinic name and callback number only.
Allergy — amoxicillin vs penicillin
Amoxicillin is in the penicillin family and she is allergic to penicillin (hives) — but the pharmacy's own record showed “none on file”. Flagged URGENT and routed to Dr. Okafor first, before the two routine refills.
Scope — what a VA must not do
I prepared the refill summaries and passed on the provider's message in plain words. I did not approve or deny any refill, change a dose, diagnose, or explain what a lab result means. Every decision box is left blank for the provider.
Work samples
The exact words used with the patient and the provider. Use the tabs, and copy any sample straight into an application.
Explaining the bill to the patient
“Thank you for asking, Ms. Carter. The $30 you paid at check-in was your fixed visit fee, called a copay, and it covered part of the office visit only. Your lab tests are billed separately, and you still had $50 left to pay toward your yearly deductible — the amount you pay first before insurance shares the cost — so that $50, plus a small 20 percent share of the remaining lab cost, is why you owe $53.80 more, for a total of $83.80 for the visit. Please do not pay that extra amount yet. Wait for the statement from your insurance, called an Explanation of Benefits, which shows exactly what was paid, and call us if it does not match.”
Message to the provider — refill triage
Dr. Okafor — three refill requests from Riverside Pharmacy, 11/04/2026, for Rosalind Carter (DOB 06/22/1971):
- UrgentAmoxicillin 500 mg: conflicts with her penicillin allergy (hives); pharmacy has no allergy on file. Please review first.
- Routine — Metformin 500 mg twice daily, 180 / 3 refills, last filled 08/06/2026; last visit 11/03/2026, labs pending.
- Routine — Lisinopril 10 mg once daily, 90 / 3 refills, last filled 08/06/2026; BP 138/86 on 11/03/2026.
Full summaries attached. No decisions made by the VA — decision boxes are blank for you.
Transcription & documentation samples — notes & billing at a glance
- SOAP note — transcription / documentation sample (11/03/2026 visit): Subjective is what she reported (tired, thirsty, up 2–3 times a night); Objective is what was measured (BP 138/86, BMI 31.1, exam); Assessment is the provider's three diagnoses (E11.9, I10, E78.5); Plan is what she was told to do.
- DAP note — transcription / documentation sample (11/05/2026): Data is the call facts and the A1c 7.8% / LDL 118 message passed on with no opinion; Assessment is that she understood and will set an alarm for the evening metformin; Plan is the BP recheck on 12/01, BP log, dietitian referral, and a callback about dietitian cover by 11/09.
- CMS-1500: Box 28 total charge $305.00; Box 29 amount paid $30.00 (copay only). Pointers: 99214 to A, B, C; A1c to A; lipid panel to C; blood draw to A, C. Boxes 9, 9a, 9d, 14, 17, 23 left blank.
What this case taught me
This case taught me to work in order and check everything twice. For costs, I apply the copay first, then the remaining deductible on the lab lines in order, then 20% coinsurance — and I cross-check the totals both ways, charges minus write-offs and patient-paid plus plan-paid against the allowed amounts. For insurance, I copy details directly from the card, digit by digit, and list any mismatch for follow-up instead of guessing. And for refills, I prepare the summary and flag safety concerns to the provider — I never decide a refill myself.