Ana
Registered Nurse |Prior Authorization | Medical Virtual
Verified
With Timeproof
Overview
Looking for full-time work (8 hours/day)
at $7.43/hour ($1,440.00/month)
Bachelors degree
Last Active
June 5th, 2026 (2 days ago)
Member Since
November 5th, 2022
Profile Description
I am a Registered Nurse (PNLE passer) with solid experience as a Medical Virtual Assistant and Utilization Management Reviewer RN in a multispecialty surgical and healthcare setting. I specialize in insurance verification, benefits checking, prior authorization processing, and utilization review for outpatient and inpatient services.
I have handled high-volume surgical authorizations including breast, reconstructive, and cosmetic procedures, ensuring accurate clinical documentation, timely submissions, and proper coordination with providers, surgery centers, and insurance companies. I am experienced in managing denials, appeals, and follow-ups to secure approvals efficiently.
I am proficient in EMR/EHR systems such as Epic, AthenaOne, OncoEMR, and Symplast, and familiar with insurance portals including Availity, Carelon, UHC, Aetna, Cigna, Humana, Tricare, and others. I am confident in handling end-to-end authorization workflows and maintaining accurate medical records.
I am detail-oriented, organized, and able to work independently in fast-paced environments while ensuring HIPAA compliance, accuracy, and strong communication with healthcare teams.
Core Skills:
Insurance Verification | Prior Authorization | Utilization Management | Denials & Appeals | CPT/ICD-10 Review | Provider Coordination | EMR Documentation | HIPAA Compliance
Top Skills
Accounting » Accounts Receivable
Experience: Less than 6 months
Customer Support » Technical Support
Experience: 1 - 2 years
Customer Support » Insurance » Prior Authorization
Experience: 6 months - 1 year
Other Skills
Human Resources » HR Management
Experience: Less than 6 months
Customer Support » Customer Service
Experience: Less than 6 months
Basic Information
- Age
- 29
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Manila City, Metro Manila
- Tests Taken
- IQ
- Score: 92
- DISC
- Dominance: 31
- Influence: 15
- Steadiness: 33
- Compliance: 21
- English
- C2(Advanced/Mastery)
- Government ID
- Sign Up with Pro Account to View
“My Filipino specialist who is absolutely amazing..go get your OFS today!”
Eden Einav
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