Overview
Looking for full-time work (8 hours/day)
at $4.96/hour ($960.00/month)
Bachelors degree
Last Active
July 8th, 2026 (6 days ago)
Member Since
November 6th, 2024
Profile Description
Insurance Verification and Prior Authorization Specialist with over 4 years of experience supporting U.S. healthcare providers across multiple specialties. Highly skilled in verifying patient eligibility and benefits, determining coverage, obtaining prior authorizations, and ensuring compliance with payer requirements to prevent delays in patient care. Experienced working with commercial insurance plans, Medicare, and Medicaid, with a strong understanding of deductibles, copays, coinsurance, referrals, and authorization guidelines.
In addition to insurance verification and prior authorization, I have extensive experience in claims processing, denial management, appeals, and medical records compliance. I am detail-oriented, HIPAA-compliant, and committed to delivering accurate, efficient, and reliable support that helps providers optimize reimbursement while ensuring a seamless patient experience.
Top Skills
Customer Support » Insurance » Prior Authorization
Experience: 6 months - 1 year
Experienced in handling prior authorizations by verifying medical necessity, checking insurance requirements, and coordinating with providers and payers to obtain timely approvals. Skilled at reviewing clinical documentation, identifying when authorizations are required, and ensuring compliance with payer policies to prevent claim denials and delays.
Customer Support » Insurance » Insurance Verification
Experience: 1 - 2 years
Professional Services » Medical Services » HIPAA Compliance
Experience: 2 - 5 years
Other Skills
Office and Administration » Data Entry
Experience: 1 - 2 years
Customer Support » Customer Service
Experience: 6 months - 1 year
Basic Information
- Age
- 27
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Tests Taken
- None
- Government ID
- Sign Up with Pro Account to View
“My business would not be able to go forward if it was not for them”
Gaurab - Adhikari
SEE MORE REAL RESULTS“They're not only loyal and hardworking, they're super detail oriented!”
- Travis OVAAnswers
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