Jester

Insurance Verification and Prior Authorization Specialist

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Overview

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

at $11.65/hour ($2,240.00/month)

Bachelors degree

Last Active

June 29th, 2026 (today)

Member Since

July 11th, 2025

Profile Description

Jester is a dedicated Healthcare Virtual Assistant with hands-on experience in handling U.S. healthcare accounts. Recognized globally for delivering exceptional customer service, I am adaptable, dependable, and committed to acquiring new skills to enhance service delivery with utmost excellence. Let’s collaborate to make a meaningful outcome together.


Core Strengths & Value Offered:
a. Insurance Expertise — Skilled in insurance verification, prior authorization, and claims processing to ensure smooth billing and patient satisfaction.

b. Portal Utilization — Experienced in navigating insurance portals such as Availity, Noridian-Medicare, QuickCap, and other payer-specific platforms; to streamline authorizations and eligibility checks.

c. EHR Proficiency — Manage patient data across multiple electronic health record systems (Epic, Practice Fusion, Office Ally), ensuring accuracy and compliance.

d. Customer-Centric Approach — Deliver empathetic, professional support that builds trust and enhances patient experiences.

e. Operational Efficiency — Coordinate appointments, manage patient accounts, and optimize clinic workflows with precision.

f. Messaging & Communication Tools — Proficient in Nextiva, Nextiva Fax, RingCentral, Hucu Messaging, and TigerConnect to ensure seamless communication between providers, patients, and teams.

g. Compliance & Accuracy — Uphold HIPAA standards while maintaining meticulous records and safeguarding patient information.

h. Adaptability & Growth — Continuously acquire new skills and embrace innovations to improve healthcare support services.


I combine technical expertise, insurance knowledge, and patient-centered communication to deliver reliable, efficient, and compassionate healthcare support. My commitment is not only to meet expectations but to exceed them — ensuring providers, payers, and patients experience seamless collaboration and meaningful outcomes.

Top Skills

Experience: 1 - 2 years

Provided accurate guidance on medical insurance coverage, claims, and billing processes by leveraging payer-specific portals such as Availity, Noridian-Medicare, QuickCap, and others to ensure smooth patient experiences and reduced claim denials.

Experience: 1 - 2 years

Secured prior authorizations by collaborating with insurance payers and medical providers, ensuring timely approval of procedures and medications, which minimized delays in patient care and optimized revenue cycles.

Experience: 1 - 2 years

Verified patient insurance eligibility and benefits with precision, preventing claim rejections and ensuring accurate billing, which contributed to smoother financial operations and enhanced patient confidence

Other Skills

Experience: 1 - 2 years

Delivered empathetic and efficient support to patients by addressing healthcare inquiries, coordinating with providers, and maintaining strict HIPAA compliance, resulting in improved patient satisfaction and streamlined clinic operations.

Experience: 1 - 2 years

- Managed patient data across multiple EHR systems (Epic, Practice Fusion, Office Ally) and facilitated provider communication through Nextiva, RingCentral, Hucu Messaging, and TigerConnect, ensuring accurate documentation and seamless collaboration.

Basic Information

Age
26
Gender
Male
Website
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Address
Valenzuela, METRO MANILA
Tests Taken
IQ
Score:  113
DISC
Dominance: 52%
Influence: 11%
Steadiness: 14%
Compliance: 23%
English
C2(Advanced/Mastery)
Government ID
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