Interest Form

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Basic Information

First Name *

Last Name *

Phone *

Email *

WhatsApp Number

City/Province *

Facebook Profile *

LinkedIn Profile *

Education

Do you have a healthcare-related degree? *

Are you currently HIPAA Certified? *

Are you certified in medical billing or coding? *

Professional

Photo *

How many years have you worked as a VA in the healthcare industry? *

Have you worked directly with U.S.-based behavioral or mental health clinics? *

Which tasks have you performed professionally in a healthcare role? *

Medical billing/Coding Experience *

Tools & Tech

Which platforms have you used professionally? *

Do you have a backup internet connection (e.g., hotspot, second ISP)? *

Are you willing to work using a HIPAA-compliant virtual desktop (e.g., AWS WorkSpaces)? *

Are you willing to use a time tracking tool such as HubStaff or Time Doctor during working hours? *

Internet Upload Speed (MB/s) *

Internet Download Speed (MB/s) *

Communication

Rate your spoken English communication skills *

Rate your written English communication skills *

Introduction Video *

Security

Are you legally permitted to work as an independent contractor in the Philippines? *

Are you willing to undergo a criminal background check? *

Have you ever been removed from a client due to misconduct, performance, or trust concerns? *

Availability

When can you start? *

Are you currently working for another client or company? *

Are you available to work full-time (40 hours/week)? *

What time shifts are you available for? *

Fit

What motivates you to stay loyal to a long-term client? *

Tell us about a time you caught a mistake that others missed. *

Describe a situation where you figured something out without being told. *

How would you handle a frustrated or upset client or patient? *

Share an example of feedback you received and how you improved from it. *

DISC

DISC Score *

Please go to the following site to take your assessment: https://discpersonalitytesting.com

Resume *

Certifications

Dominance (D) *

Influence (I) *

Steadiness (S) *

Conscientiousness (C) *

Interest Form

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Hiring Process

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