David Vasquez

About Me

Learn more about my background, work philosophy, and who I am.

My Story

I learned English on my own — games, forums and too much time on the internet. Six years in US healthcare administration, most of them on the phone with American patients and providers, did the rest; most callers don’t clock that I’m not in the US. That self-teaching is what got me in the door in 2019, and I haven’t left the field since.

Most of that was inside a Workers’ Compensation network, and I did four different jobs there. I started credentialing providers, moved to filing diagnostic reports into patient records, then learned the step before it — scheduling the MRIs, CT scans and X-rays themselves — and finally worked the cases that had stalled and that nobody was calling back. Doing the same process from both ends taught me the habit I still work by: verify before you book. A missing authorization isn’t a paperwork problem, it’s a patient who doesn’t get seen.

Today I handle front-desk support for a multi-location optometry practice in New Jersey, as the only person on the team working from outside the office. That means I cover what the in-office desks can’t get to: 40 to 60 patient contacts a day, around 50 eligibility checks a week, intake, recalls, and the follow-ups nobody has time for.

Both languages, all day. When someone is worried about what their insurance covers, fluency isn’t the hard part — being clear is. I interpret between patients and providers as part of the job, not as a favor.

Areas of Expertise

Case Coordination & Outbound Follow-Up

Confirming referrals, authorizations and case status with clinics, adjusters and nurse case managers — following up until the answer is definite, then writing it down. Four and a half years inside a US Workers’ Compensation network, the last of them on the outbound desk.

Multichannel Support & Intake

Phone, live chat, SMS and email through Weave; intake through IntakeQ. 40–60 patient contacts a day, all logged.

Scheduling & Calendar Management

Multi-provider calendars, cancellations, annual recalls. RevolutionEHR daily.

Insurance Verification

Eligibility and benefits confirmed before the visit — Availity, ABBverify, VSP, EyeMed. Around 50 a week, some live with the patient on the line.

Bilingual Support & Interpreting

Live interpreting between patients and providers, plus written translation of patient-facing material.

How I Work

What it looks like to have me on your team — from day one.

Contractor-ready (W-8BEN)

A US practice can engage me directly as an international independent contractor. W-8BEN on file, invoicing through Deel, no staffing agency in the middle.

A remote setup that doesn’t drop calls

200 Mbps connection, a UPS that carries me through outages, a dedicated quiet room and a noise-cancelling headset. El Salvador doesn’t observe daylight saving, so my schedule is stable and predictable — I adjust to your hours, Eastern through Pacific.

Trained your way, then out of your way

I’ve onboarded onto three different practice systems in six years. Give me your documentation and a few shadowing sessions and I’ll do things the way your practice does them, not the way my last one did.

AI as a tool, not a shortcut

I use Claude, ChatGPT and Gemini every day to learn systems faster, draft cleaner documentation and catch my own mistakes.

Experience

Where I've worked and what I actually did.

Jun 2025 — Present · Remote

Remote Front-Desk Support & Patient Coordinator

Multi-location optometry practice — New Jersey

Remote support for the front desks of every location, as the only team member working from outside the office — covering scheduling, verification and follow-up the in-office desks can’t reach.
40–60 patient contacts a day across phone, live chat, SMS and email (Weave), plus digital intake through IntakeQ.
Around 50 insurance eligibility verifications a week through Availity, ABBverify, VSP and EyeMed, including live checks with the patient on the line. Enter and reconcile coverage data from PatientEngage into the EHR, 10–20 records a day.
Scheduling and recalls in RevolutionEHR — new appointments, filling cancellations, and bringing back patients due for annual exams. Daily coordination with doctors and staff over Slack and Microsoft Teams.

Nov 2023 — Feb 2025 · Remote

Tier 1 Customer Support Representative

Black Hawk Support Services — One4All

Tier 1 support for the One4All gift-card programme across the UK and Ireland — physical and digital cards — by phone and email, for individual cardholders and for the retailers accepting the cards.
First point of contact for non-technical users with app and digital-card problems — walking people through activation and login step by step, translating the technical answer into plain language, and escalating when an issue needed the next tier. Balances, replacements for lost or damaged cards, failed transactions and refunds.

Apr 2019 — Oct 2023

Healthcare Administrative Coordinator — Scheduling, Records & Credentialing

Cognizant — One Call Care Management

Scheduled MRI, CT, X-ray and neurology studies (EMG/NCS) for injured workers under US Workers’ Compensation protocols — 30–40 scheduling calls a day plus follow-ups.
Moved to the outbound team in 2022 to work the referrals that had stalled for missing information and that the inbound queue never touched — up to 100 dials a day, with a monthly target of clearing about 75% of the lead pool.
Confirmed prior authorizations were on file before booking — and obtained them when they weren’t — so procedures wouldn’t be denied or delayed. Verified claimant intake, demographics and referring-physician records, including NPI lookups.
Ran pre-procedure screening by modality — claustrophobia, metal implants and prior surgeries for MRI, anticoagulant use for neurology studies — and matched each appointment to what the referral required, including 2 Tesla magnets or open MRI, alongside the patient’s location and availability.
Before scheduling: a year credentialing providers across home health, DME, hearing aids and diagnostics — chasing licences from practices with no credentialing staff and validating packets before they went to the US team — then processing diagnostic reports into patient records at a 50–70 per day queue target, releasing each one to the adjuster and the referring physician.
Bilingual support for Spanish-speaking claimants, including prep instructions and procedure explanations.
Consistent KPIs on call quality, accuracy and documentation throughout.

Tools & Skills

The systems I use every day.

Healthcare systems

RevolutionEHRPatientEngageIntakeQAvailityWeaveABBverifyVSPEyeMed

Office & productivity

Google WorkspaceMicrosoft OfficeSlackMicrosoft Teams

AI tools

ClaudeChatGPTGemini

Used daily to learn new systems faster, draft documentation and double-check my own work.

HIPAA Compliance — Staff Training

Practice Compliance Solutions (PCS) · Issued Feb 2026

EF SET English Certificate — C2 Proficient

EF SET · Issued Feb 2025

Frequently Asked Questions

Answers to the most common questions about how I work.

What kind of work fits you best?

Remote administrative and customer-facing work for US healthcare — patient and case coordination, scheduling, insurance verification, intake, and all the follow-up in between, across phone, live chat and email. I’ve done it for a single practice, for a national imaging network, and as the remote backup for a multi-site front desk. High volume doesn’t bother me; an unclear process does, so I ask my questions early and then get out of your way.

Can you work US business hours?

Yes. My four and a half years at Cognizant and my current role are both on US business hours, and I can cover Eastern through Pacific. El Salvador doesn’t observe daylight saving, so there’s no seasonal disruption on my end — I adjust to your schedule and stay there.

How do you handle patient privacy?

HIPAA trained and certified (Practice Compliance Solutions, 2026), with hands-on PHI experience across medical records, Workers’ Compensation cases and practice operations. I document as I go, and patient data doesn’t leave the systems you approve.

You haven’t used our EMR. How long until you’re useful?

I work in RevolutionEHR daily, and before that I scheduled through the systems of a national imaging network. EMRs differ in layout, not in logic — schedule, encounter, eligibility, documentation. Give me your documentation and a few shadowing sessions and I expect to be handling live work within two weeks.

How does AI fit into your work?

As a tool, not a shortcut. I use Claude, ChatGPT and Gemini to learn new systems faster, draft cleaner documentation and catch mistakes before they reach a chart. Patient data stays inside the practice’s approved systems.

How does an engagement with a US practice work?

Simpler than most people expect. I’m familiar with the W-8BEN form and invoice through Deel, so a US practice can engage me directly as an international independent contractor. I’m equally comfortable working through an agency if that’s already your setup.