Prior Authorization & Insurance Verification | HIPAA Compliance
Cebu
I’m a Healthcare Virtual Assistant with nearly four years of experience supporting U.S. healthcare operations, specializing in prior authorization, insurance verification, patient/member support, and healthcare administration. In my current role at Optum, I handle high-volume healthcare cases, review documentation and eligibility information, work with insurance requirements, and navigate multiple healthcare systems while maintaining accuracy and protecting sensitive patient information. I’ve been recognized with the Quality Assurance Excellency Award and Top Advocate Award for maintaining high-quality work and providing excellent customer service. I’m detail-oriented, organized, and comfortable working independently with minimal supervision. I take ownership of my tasks, follow up when necessary, and make sure work is completed accurately and on time. I’m also experienced in high-volume communication, data entry, documentation, and working across multiple systems. My goal is simple: to become someone you can confidently trust with your healthcare operations and patient-related tasks.
Optum Global Solutions (UHG), full_time
Oct 2024 to Present
Process prior authorization requests for Medicare Part D and commercial insurance plans by reviewing documentation, verifying eligibility, and ensuring accurate coverage determinations. Experienced with PAS, PANDA, and Advocate Central while maintaining HIPAA compliance and 99%+ quality scores. Recognized with Optum's Quality Assurance Excellency Award and Top Advocate Award for accuracy and customer service.
Azpired Inc., full_time
Sep 2023 to May 2024
Managed daily dispatch operations by coordinating schedules, communicating with drivers and customers, and resolving real-time transportation issues. Maintained accurate records, updated account information, and ensured smooth day-to-day operations while handling 70+ inbound and outbound calls daily. Developed strong skills in communication, organization, multitasking, and problem-solving in a fast-paced environment.
Azpired, full_time
Aug 2022 to Sep 2023
Coordinated daily transportation services by managing customer requests, updating trip records, and monitoring fleet activity in real time. Maintained accurate documentation, resolved scheduling issues, and provided excellent customer support in a fast-paced environment. Developed strong skills in communication, organization, data entry, and problem-solving.