Joyce
USRN | Utilization Review Nurse | Healthcare Virtual Assistant | Medical QA Anal
Verified
With Timeproof
Overview
Looking for full-time work (8 hours/day)
at $5.64/hour ($1,090.91/month)
Bachelors degree
Last Active
June 3rd, 2026 (today)
Member Since
July 18th, 2022
Profile Description
I’m a USRN and PHRN with 10+ years of experience in US healthcare operations, specializing in utilization review, medical necessity evaluation, insurance workflows, and quality assurance.
I help healthcare companies improve accuracy, reduce claim denials, and maintain strict compliance with payer and regulatory standards.
My background combines clinical nursing expertise with deep operational experience, allowing me to deliver both medical accuracy and process efficiency.
Core Expertise:
Utilization Review & Medical Necessity Determination
Prior Authorization & Pre-certification Processing
Insurance Verification & Benefits Coordination
Medical Records Review (ICD-10, CPT familiarity)
Claims Support & Documentation Accuracy
Quality Assurance & Compliance Auditing
KPI Monitoring & Performance Optimization
Leadership & Impact:
Led healthcare teams to consistently meet KPIs and SLAs
Reduced errors through structured QA and coaching programs
Improved workflow efficiency through process optimization
Ensured compliance with insurance and healthcare standards
What sets me apart:
Unlike general VAs, I bring licensed clinical expertise + healthcare operations experience, allowing me to understand both patient care and backend systems.
I don’t just complete tasks—I help optimize your healthcare operations.
Top Skills
Professional Services » Medical Services
Experience: 10+ years
???? Core Healthcare Skills Utilization Review Prior Authorization Insurance Verification Medical Records Review Claims Management Medical Necessity Review
Office and Administration » Translation
Experience: 10+ years
???? Healthcare VA / Admin Skills Healthcare Virtual Assistant Medical Virtual Assistant Patient Coordination Telehealth Support Medical Admin
Office and Administration » Team Leadership
Experience: 2 - 5 years
???? Leadership / High-Level Skills Team Leadership Performance Management Coaching & Training KPI Management
Professional Services » Medical Services » HIPAA Compliance
Experience: 10+ years
???? QA / Compliance Skills Quality Assurance QA Auditing Compliance Monitoring HIPAA Compliance Documentation Review
Other Skills
Professional Services » Medical Services » Revenue Cycle Management
Experience: 10+ years
Revenue Cycle Management (RCM) ICD-10 Coding CPT Coding Healthcare Data Analysis Process Improvement
Basic Information
- Age
- 43
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Quezon city, Metro Manila
- Tests Taken
- IQ
- Score: 90
- DISC
- Dominance: 52%
- Influence: 8%
- Steadiness: 17%
- Compliance: 23%
- English
- C1(Advanced)
- Government ID
- Sign Up with Pro Account to View
“It definitely helped transform my business and take a significant load off for me.”
Samori Coles
SEE MORE REAL RESULTS“They're not only loyal and hardworking, they're super detail oriented!”
- Travis OVAAnswers
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