Ana

Registered Nurse |Prior Authorization | Medical Virtual

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Overview

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

at $7.47/hour ($1,440.00/month)

Bachelors degree

Last Active

June 29th, 2026 (9 days ago)

Member Since

November 5th, 2022

Profile Description

I am a Registered Nurse (PNLE passer) with solid experience as a Medical Virtual Assistant and Utilization Management Reviewer RN in a multispecialty surgical and healthcare setting. I specialize in insurance verification, benefits checking, prior authorization processing, and utilization review for outpatient and inpatient services.

I have handled high-volume surgical authorizations including breast, reconstructive, and cosmetic procedures, ensuring accurate clinical documentation, timely submissions, and proper coordination with providers, surgery centers, and insurance companies. I am experienced in managing denials, appeals, and follow-ups to secure approvals efficiently.

I am proficient in EMR/EHR systems such as Epic, AthenaOne, OncoEMR, and Symplast, and familiar with insurance portals including Availity, Carelon, UHC, Aetna, Cigna, Humana, Tricare, and others. I am confident in handling end-to-end authorization workflows and maintaining accurate medical records.

I am detail-oriented, organized, and able to work independently in fast-paced environments while ensuring HIPAA compliance, accuracy, and strong communication with healthcare teams.

Core Skills:

Insurance Verification | Prior Authorization | Utilization Management | Denials & Appeals | CPT/ICD-10 Review | Provider Coordination | EMR Documentation | HIPAA Compliance

Top Skills

Accounting » Accounts Receivable

Experience: Less than 6 months

Customer Support » Technical Support

Experience: 1 - 2 years

Customer Support » Insurance » Prior Authorization

Experience: 6 months - 1 year

Other Skills

Human Resources » HR Management

Experience: Less than 6 months

Customer Support » Customer Service

Experience: Less than 6 months

Basic Information

Age: 29

Gender: Female

Website: Sign Up with Pro Account to View

Address: Manila City, Metro Manila

Tests Taken: IQ
Score: 92: DISC
Dominance: 31
Influence: 15
Steadiness: 33
Compliance: 21: English
C2(Advanced/Mastery)

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.”