Rosemarie

Prior Authorization Specialist | Insurance Verification | MedVA - Retina/Ophthalm

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Overview

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

at $4.98/hour ($960.00/month)

Bachelors degree

Last Active

June 30th, 2026 (11 days ago)

Member Since

July 30th, 2023

Profile Description

Hi! I'm someone who genuinely enjoys helping clinics run smoothly by taking care of the tasks that usually slow them down, especially prior authorizations, insurance checks and medical admin work. For the past year, I've been assisting US-based providers with their PA submissions for medical injectable drugs and surgery/laser procedures. I'm used to handling follow-ups, calling payers and making sure all required documents are complete, so approvals come faster and denials are minimized. I've processed hundreds of PA requests and I'm comfortable working with different insurance portals.

What I usually handle:
1. Submitting and tracking prior authorizations
2. Insurance eligibility and benefits verification
3. Calling payers for updates
4. Preparing clinical notes and supporting documents
5. Updating EMRs/EHRs
6. Coordinating with patients and doctors
7. Logging approvals, denials and appeals

Tools I've worked with:
- Nextech, AdvancedMD, AthenaOne, Availity, Cover ---------- ds,Slack,Teams,Google Workspace,MS Office,Canva,GoTo

I'm detail-oriented, patient and very organized - traits that really help when dealing with insurance tasks. If you need someone who can take PA work off your plate and keep things moving, I'd be happy to support your practice.