Calvinlito

5+ Yrs EXP Medical VA | Prior Authorization & Insurance Verification Specialist

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Overview

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

at $8.27/hour ($1,600.00/month)

Holy Name University

Last Active

July 8th, 2026 (7 days ago)

Member Since

February 29th, 2020

Profile Description

I have 5+ years of experience supporting US healthcare providers with prior authorization, insurance verification, appointment scheduling, patient registration, and medical administrative tasks.

I understand the importance of accuracy, HIPAA compliance, and timely communication. Whether it's working with insurance companies, managing EHR/EMR systems, or assisting patients, I take ownership of every task and consistently deliver high-quality results with minimal supervision.

My goal is simple: to help your practice run more efficiently so you can focus on providing excellent patient care.

Top Skills

Office and Administration » Documentation

Experience: 2 - 5 years

Review documents like prescriptions, sleep study/PSG, office visit notes, etc., to ensure they follow Medicare guidelines or if it is valid to support the prior authorization request. Contact other staff in our office to request the missing documents.

Customer Support » Insurance » Prior Authorization

Experience: 2 - 5 years

I communicate with health insurance to obtain prior authorizations for the PAP machine and its supplies, completing 30 to 50 requests per day. I also check documents like prescriptions, sleep studies, and face-to-face notes, which are usually required for the authorization request. I follow up on submitted auth requests, update our tracker, and properly document approved authorization requests.

Customer Support » Insurance » Insurance Verification

Experience: 2 - 5 years

I check insurance portals like Availity, UMR, UHC, HPN, etc., to check patients' effective date, copay/coinsurance, deductible, maximum out of pocket, and accumulations. I also call patients for missing insurance information or to confirm patient demographics. I accurately update patients insurance information to ensure smooth transaction with our billing department.

Other Skills

Office and Administration » Calendar Management » Scheduling

Experience: 1 - 2 years

Answer patient inquiries about their appointment, provider information, office location, etc., while maintaining professionalism. Manage our podiatrists' calendar by scheduling, cancelling, or rescheduling appointments.

Professional Services » Medical Services » HIPAA Compliance

Experience: 2 - 5 years

Ensure patients' PHI is protected by following HIPAA guidelines.

Basic Information

Age: 41

Gender: Male

Website: Sign Up with Pro Account to View

Address: Cebu City, Cebu

Tests Taken: IQ
Score: 117: DISC
Dominance: 21
Influence: 7
Steadiness: 24
Compliance: 38: English
B2(Upper Intermediate)

Government ID: Sign Up with Pro Account to View

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