Jomar

Prior Authorization | Mental Health

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Overview

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

at $6.58/hour ($1,272.74/month)

Bachelors degree

Last Active

July 27th, 2026 (yesterday)

Member Since

September 6th, 2019

Profile Description

I am an experienced Medical Billing Specialist and Virtual Assistant with a strong focus on prior authorizations for mental and behavioral health services. I have successfully managed approvals for psychotherapy, psychiatric evaluations, psychological testing, and other behavioral health treatments, ensuring compliance with payer-specific requirements and preventing care delays. Skilled in navigating payer portals such as Availity, Navinet, Provider Express, Cigna, UHC, Humana, Aetna, and BCBS, I streamline the authorization process with accuracy and efficiency. My background in denials management further enhances my ability to anticipate payer requirements and secure timely approvals, making me a reliable partner for practices seeking smooth and uninterrupted patient care.

Top Skills

Customer Support » Insurance » Prior Authorization

Experience: 2 - 5 years

Professional Services » Medical Services » Revenue Cycle Management

Experience: 2 - 5 years

Professional Services » Medical Services » HIPAA Compliance

Experience: 2 - 5 years

Other Skills

Customer Support » Healthcare » Electronic Health Record

Experience: 2 - 5 years

Professional Services » Medical Services » Denial Management

Experience: 2 - 5 years

Basic Information

Age: 28

Gender: Male

Website: Sign Up with Pro Account to View

Address: Cainta, Rizal

Tests Taken: IQ
Score: 116: DISC
Dominance: 9
Influence: 17
Steadiness: 38
Compliance: 36: English
C1(Advanced)

Government ID: Sign Up with Pro Account to View

“For years, I maxed out my hours, got burnt out, and the quality of my work would start to go down. I decided to take the leap, hire correctly, and now it frees up my time to focus on growing the business.”