Medical VA/Prior Auth/Insurance Verification/UR Team Lead

Overview

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

at $8.32/hour ($1,600.00/month)

Bachelors Degree

Last Active

June 26th, 2026 (2 days ago)

Member Since

January 21st, 2023

Profile Description

Hi! Thanks for visiting my profile. I know how overwhelming prior authorizations, insurance verification, and payer follow-ups can become for healthcare providers and clinics. Delayed approvals, endless hold times, denied requests, and missing documentation don’t just slow operations down, they affect patient care too. That’s where I come in.

With 8+ years of experience as a Medical Virtual Assistant specializing in Prior Authorization, Utilization Review, and Insurance Verification, I help healthcare teams stay ahead of approvals, reduce denials, and keep cases moving efficiently. I’ve handled high-volume authorizations for behavioral health, pain management, radiology, PT/OT, and specialty care while working with commercial insurance, Medicare, and Medicaid/MCO plans. I’m experienced in managing urgent and standard requests, SCA, appeals, retro authorizations, peer-to-peer coordination, and payer escalations. I also help providers stay organized through accurate tracking, documentation, insurance follow-ups, and proactive communication to help avoid delays and authorization issues before they become bigger problems.

I’m highly experienced with Availity, NaviNet, Carelon, eviCore, Cohere, RadMD, and multiple insurance portals. Beyond processing authorizations, I focus on creating smoother workflows, improving turnaround times, and easing the administrative burden for healthcare teams so providers can focus more on patient care. If you’re looking for someone reliable, proactive, detail-oriented, and able to work independently with minimal supervision, I’d love to support your practice. Thank you.