Medical Virtual Assistant & Prior Authorization SpecialistMedical Virtual Assistant & Prior Authorization Specialist
Mark
ID Verified$1,200
per month
($7/hour)
Profile Description
Licensed Registered Nurse in the Philippines, with several years of experience in both hospital care and remote healthcare support. Over the past few years, worked as a Prior Authorization Specialist supporting U.S. healthcare providers. Responsibilities included reviewing clinical documentation, verifying insurance eligibility and benefits, processing prior authorizations, and coordinating with providers to resolve issues affecting patient care. Very comfortable working with different EHR sys...
Top Skills
Skills & Expertise
Skill Levels Explained:
💡 Hover over any skill level to see exact years of experience
Virtual Assistance & Admin
Specialized Skills
AI & Automation
Work Experience
Prior Authorization Specialist
Access Healthcare
Aug 2025 - Aug 2026
Job Responsibilities:
Client Partner under Athena Health Processed and submitted Prior Authorization requests in strict accordance with payer guidelines and clinical documentation standards. Collaborated effectively with healthcare providers, insurance representatives, and cross-functional teams to resolve authorization issues and monitor pending requests. Conducted comprehensive reviews of patient medical records, m...