A Certified Medical Virtual Assistant with strong experience in case management, prior authorization, and insurance operations. Highly skilled in insurance verification, concurrent and prior authorization processing, carve-out requests, reconsiderations, and appeals, including conducting verbal reviews with insurance case managers and medical directors. Proficient in EMR/EHR systems such as PointClickCare, NetHealth, Practice Fusion, DrChrono, and Availity, with advanced knowledge of claims, benefits inquiries, and authorization requirements by procedure codes. Demonstrates excellent email management, documentation accuracy, and coordination with healthcare providers and facilities. Known for strong time management, multitasking, adaptability, and the ability to work efficiently under pressure while maintaining HIPAA compliance and high-quality customer service.
