Prior Authorization | Utilization Management

Overview

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

at $3.30/hour ($640.00/month)

Bachelors degree

Last Active

July 18th, 2026 (4 days ago)

Member Since

January 11th, 2019

Profile Description

I am a dedicated Healthcare Operations Specialist and BSN graduate with 9 years of multi-account experience supporting US healthcare, insurance, and financial institutions. I specialize in medical documentation review, prior authorization processing, billing resolution, and HIPAA-compliant case management in fast-paced virtual environments.

How I can support your team:

Prior Authorization & Medical Coding: Reviewing physician notes and clinical documentation to process timely, compliant approvals with insurance payers and follow ups.

HIPAA-Compliant Records Management: Maintaining strict data privacy standards while documenting case histories and authorization logs across CRM and EMR systems.

Multichannel Virtual Support: Delivering exceptional customer service and resolving complex system inquiries via chat, email, and portals.

Technical Troubleshooting: Resolving software and application-related issues using specialized internal diagnostic tools.

If you are looking for an adaptable, highly organized partner who understands healthcare workflows, financial operations, and strict compliance requirements, I am ready to support your team.