Medical Virtual Assistant | Senior Prior Authorization

Overview

Looking for full-time work (8 hours/day)

at $5.32/hour ($1,024.00/month)

Bachelors degree

Last Active

July 4th, 2026 (3 days ago)

Member Since

March 22nd, 2021

Profile Description

I am a highly organized and results-driven Senior Prior Authorization Specialist and Medical Virtual Assistant with over 10 years of experience in U.S. healthcare support, medical billing, and insurance coordination. I specialize in managing the full prior authorization lifecycle—from insurance verification and submission to denial resolution and appeals—consistently maintaining a 98% approval rate.

With hands-on experience supporting Family Medicine, Orthopedics, Rheumatology, Pain Management, Neurology, and Behavioral Health, I am well-versed in EMR/EHR systems including Athena, AdvanceMD, Dr. Chrono, Elation, and Meditab. I am also proficient in major insurance portals such as Availity, NaviNet, Cover ---------- ds, UnitedHealthcare, Aetna, Molina, and CMS HETS.

Throughout my career, I have collaborated closely with physicians, therapists, case managers, pharmacies, and insurance providers to ensure accurate documentation, timely authorizations, and smooth reimbursement processes. My strong background in billing, coding (CPT, HCPCS, J-codes), claims follow-up, and compliance with Medicare, Medicaid, and commercial payer guidelines allows me to effectively reduce denials and improve revenue cycle performance.

With a Bachelor of Science in Nursing and a solid foundation in patient care and provider support, I bring a patient-centered, detail-oriented, and compliance-focused approach to every role. I am committed to delivering efficient, accurate, and dependable healthcare administrative support while maintaining the highest standards of confidentiality and professionalism