Rachel

Healthcare - RCM Specialist ( IV & Prior Auth )

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Overview

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

at $6.62/hour ($1,280.00/month)

Bachelors degree

Last Active

July 6th, 2026 (3 days ago)

Member Since

April 2nd, 2026

Profile Description

Healthcare Administrative Professional with 2 years and 8 months of experience in insurance verification, benefits investigation, prior authorization, patient services, and ICD-10 diagnosis code review in a hospital setting. Skilled in working with major U.S. insurance plans, verifying eligibility, obtaining authorizations, resolving coverage issues, supporting revenue cycle operations, and ensuring accurate diagnosis code documentation.

Proficient in Cerner, Athenahealth, Availity, and Carelon, with a 98% authorization approval rate achieved through accurate documentation, effective payer communication, and proactive follow-up. Dedicated to improving patient access to care and supporting efficient healthcare operations.

Seeking opportunities as an Insurance Verification Specialist, Prior Authorization Specialist, Medical Billing/RCM Specialist, Healthcare Virtual Assistant, or Medical Coding Specialist.

Top Skills

Experience: 2 - 5 years

Experience: 2 - 5 years

Experience: 2 - 5 years

Other Skills

Experience: 2 - 5 years

Basic Information

Age
27
Gender
Female
Website
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Address
Navotas, Metro Manila
Tests Taken
DISC
Dominance: 18
Influence: 20
Steadiness: 39
Compliance: 23
English
B1(Intermediate)
Government ID
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