Jelenie

Medical VA | Prior Authorization Specialist

70 ID PROOF
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Overview

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

at $6.77/hour ($1,280.00/month)

Bachelors degree

Last Active

June 7th, 2026 (10 days ago)

Member Since

August 18th, 2025

Profile Description

Versatile and patient-focused healthcare professional with 9+ years of experience
across clinical support, insurance operations, and member services. Proven success as a Prior Authorizations and Referrals Specialist, with deep knowledge of insurance portals like Cover ---------- ds and Availity, prior authorization workflows, and referral management. Started career at Optum as a frontline agent and advanced to Subject Matter Expert, coaching peers, analyzing quality audits, and ensuring first-call resolution for member inquiries. Skilled in patient communication, provider collaboration, and navigating complex insurance processes. Committed to improving access to care, streamlining healthcare operations, and delivering compassionate, accurate support at every touchpoint.

Top Skills

Experience: 5 - 10 years

BPO - HEALTHCARE (OPTUM) 7 YEARS

Experience: 10+ years

Experience: 5 - 10 years

Other Skills

Basic Information

Age
40
Gender
Female
Website
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Address
Quezon city, NCR
Tests Taken
IQ
Score:  115
English
C2(Advanced/Mastery)
Government ID
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