Detail-oriented healthcare professional with over 5 years of
experience in Prior Authorization, Insurance Verification, and Eligibility
processes. Adept at navigating insurance portals, conducting benefit
investigations, and securing prior approvals for medical procedures and
medications. Skilled in identifying both in-network and out-of-network
benefits, ensuring accurate and timely processing. Proficient with EHR/EMR
tools including Practice Fusion. Strong communicator and independent worker
committed to delivering efficiency and quality in a fast-paced healthcare setting.

Detail-oriented Prior Authorization Specialist with almost 10 years of experience in the healthcare industry. Proficient in benefit verification, medical coding, and managing end-to-end authorization request. Skilled in navigating insurance portals, resolving authorization issues, and ensuring compliance with regulatory standards. Proven track record of reducing turnaroud time while coordinating effectively with healthcare providers and insurance companies.

Computer literate with proficiency in
Microsoft Office (Word, Excel, PowerPoint).
Strong communication skills.
Ability to work effectively under pressure.
Strong interpersonal skills and the ability to
work independently and follow through on
tasks.
Proficient in identifying the needs, priorities,
and problems of individuals.
Results-oriented with a focus on achieving
success.

HIPAA-Certified Medical VA with 2+ years of experience in Insurance Verification, Prior Authorization, and New Patient Intake for US Sleep Clinic and DME provider (CPAP/BiPAP). Detail-oriented, dependable, and ready to assist with back-office medical tasks to keep your practice running smoothly.

Results-driven Healthcare Operations and Patient Care Coordinator with extensive experience supporting Home Health and Wound Care practices. Expertise in securing insurance authorizations, managing appeals, coordinating referrals, tracking laboratory orders, and maintaining accurate patient records. Strong understanding of HIPAA compliance, patient confidentiality, healthcare regulations, and clinical documentation standards, ensuring secure and compliant handling of sensitive health information. Proven track record of collaborating with healthcare providers, insurance companies, and patients to streamline care processes, reduce treatment delays, and enhance patient satisfaction. Recognized for strong organizational skills, attention to detail, and the ability to deliver high-quality administrative and patient support in dynamic healthcare settings.

Dedicated Healthcare Administrative Professional with over 9 years of experience supporting U.S. healthcare members, providers, and insurance-related processes. Experienced in patient support, provider coordination, prior authorizations, appeals and grievances, claims follow-up, healthcare documentation, and HIPAA-compliant record management.

I bring strong communication skills, administrative expertise, and a proven ability to work independently in remote environments while maintaining high-quality service and confidentiality.

About Me

- Healthcare Virtual Assistant with 3+ years of experience supporting U.S.-based healthcare providers, skilled nursing facilities, rehabilitation centers, infusion centers and administrative teams
- Experienced in patient intake, referral coordination, insurance verification, prior authorization, appointment scheduling, and healthcare documentation.
- Proficient in multiple EMR/EHR systems, CRM platforms, and GoHighLevel (GHL).
- Detail-oriented, HIPAA-compliant, and committed to delivering exceptional patient and client experiences while ensuring accurate and timely coordination.

What I Do

- Manage patient referrals from intake through admission
- Verify insurance eligibility, benefits, and authorization requirements
- Process and follow up on prior authorizations
- Coordinate with physicians, case managers, hospitals, referral sources, patients, and families
- Schedule appointments and maintain accurate patient records
- Handle email, phone, and CRM communication professionally
- Maintain organized documentation and ensure HIPAA compliance
- Assist with administrative tasks, data entry, reporting, and workflow management

Healthcare & Administrative Support

- Patient Intake & Referral Coordination
- Insurance Verification (Medicare, Medicaid, Managed, Commercial Insurance)
- Prior Authorization Processing & Follow-Up
- Medical Documentation & Record Management
- Appointment Scheduling
- Data Entry & Administrative Assistance
- Workflow Organization & Client Follow-Up

Systems & Software

- EMR/EHR: Epic, Allscripts, PointClickCare, MatrixCare, WellSky, WeInfuse
- Insurance Portals: Availity, Waystar, NJMMIS, UHC Portal, Navinet
- CRM & Communication: GoHighLevel (GHL), Salesforce, Slack, Microsoft Teams, Outlook, Spruce
- Microsoft Office & Google Workspace

Why Choose Me

- 3+ years supporting U.S. healthcare organizations in fast-paced remote environments
- Strong understanding of HIPAA compliance and patient confidentiality
- Excellent communication with patients, providers, insurance representatives, and referral partners
- Highly organized with exceptional attention to detail and follow-through
- Able to manage multiple referrals and administrative tasks while meeting deadlines
- Reliable, proactive, and committed to providing outstanding support that helps healthcare teams operate efficiently

Healthcare Customer Service Representative with 9+ years of experience supporting medical,
dental, pharmacy, and DME accounts. Skilled in prior authorization, benefits verification, claims
processing, order management, and insurance coordination. Experienced in handling escalations,
resolving complex cases, and supporting team operations as a Subject Matter Expert (SME) and
Assistant Team Lead. Strong background in healthcare operations, customer service, and HIPAA
compliant documentation.

I have been a Prior Authorization Specialist for a US-based client Healthcare Company. From there I was able to hone my skills not only in the authorizations team but also in the clinical operations.
From being an Authorization Analyst to becoming a Subject Matter Expert-Quality Assurance in this company. Because of this, I was able to learn and instill a high quality of service which helped me identify my needs of improvement and also the needs of improvement of the team. I am pretty much flexible with the tasks that I will be designated to do. You can depend on me that I will never abandon a task and you won't have a hard time contacting me. You'll find that this is why I am efficient.
Prior to that, I was a Quality Assurance Specialist and Microbiologist for a Multinational food company for a while. I was also the one responsible for SAP logistics supply management of the laboratory, quality testing and GMP inspection. I always make sure the accuracy of the data and efficiency of the processes.
I can assure you that I can easily adapt with a fast-paced environment, training and also different processes that the program requires me to. I am a person that requires minimum supervision and also a team player.

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

I want to be known as a meticulous and reliable worker with a strong commitment to accuracy and efficiency. As a Prior Authorization Specialist and Insurance Verification Specialist, I pride myself on my ability to navigate complex insurance processes with ease, ensuring that patients receive the care they need while also ensuring compliance with insurance protocols. My attention to detail and thorough understanding of medical coding and insurance policies allow me to prevent errors and streamline workflows.

In my role as a Content Moderator, I want to be recognized for my quick thinking and fairness in making decisions. I understand the importance of creating a safe and positive online space, and I work diligently to ensure that all content complies with community standards. My ability to assess content swiftly and effectively, while keeping user experience at the forefront, is a key strength.

Ultimately, I aim to be known as someone who brings a thoughtful, problem-solving mindset to my work—whether it’s securing the necessary approvals for a patient’s procedure or maintaining the integrity of an online platform. I want to be trusted for my dedication to providing high-quality service, my proactive approach to challenges, and my unwavering focus on getting things done right the first time.

Healthcare Virtual Assistant and Pharmacist with 3+ years of experience in prior authorization, insurance verification, provider-payer coordination, and EMR/EHR documentation.

Detail-oriented, organized, and adaptable professional experienced in supporting healthcare teams through administrative support, scheduling coordination, workflow management, and accurate medical documentation while maintaining HIPAA compliance. Also open to broader healthcare support and allied health-related virtual assistance roles.

- Verifying Insurance

- Requesting Authorization/ Reviewing medical records

- Follow-up and Manage Denials

- Communicate with Insurance Health workers

I have 5+ years of experience supporting US healthcare providers with prior authorization, insurance verification, appointment scheduling, patient registration, and medical administrative tasks.

I understand the importance of accuracy, HIPAA compliance, and timely communication. Whether it's working with insurance companies, managing EHR/EMR systems, or assisting patients, I take ownership of every task and consistently deliver high-quality results with minimal supervision.

My goal is simple: to help your practice run more efficiently so you can focus on providing excellent patient care.

Helping Healthcare & Insurance Businesses Save Time, Increase Efficiency, and Deliver Exceptional Customer Service

Hi! I'm Darling, a highly dependable Virtual Assistant with over 12 years of experience supporting U.S. and Australian businesses in healthcare, insurance, sales, and business operations.

I don't just complete tasks—I take ownership, solve problems, and help businesses run smoothly. My goal is to become a reliable partner who allows you to focus on growing your business while I handle the day-to-day operations with accuracy and professionalism.
Here's how I can help your business:

Insurance Verification & Benefits Investigation
Prior Authorization Processing & Follow-ups
Referral Coordination
Patient Scheduling & Care Coordination
Claims & Eligibility Verification
Provider & Insurance Company Communication
Appointment Setting & Calendar Management
Lead Generation & Cold Calling
Customer Service (Phone, Email & Chat)
CRM & Data Management
Administrative & Executive Assistance
Email Management & Documentation

Why clients choose to work with me:

12+ years of professional experience supporting international clients
Strong background in U.S. healthcare and Australian insurance operations
Leadership experience managing teams and improving workflows
Excellent communication and relationship-building skills
Detail-oriented, organized, and proactive
Fast learner who adapts quickly to new systems and processes
Able to work independently with minimal supervision
Committed to accuracy, confidentiality, and delivering high-quality results

I believe the best Virtual Assistants don't just follow instructions—they anticipate needs, communicate proactively, and become trusted members of the team. That's exactly what I strive to do with every client I work with.

If you're looking for someone who is reliable, resourceful, and genuinely invested in your business's success, I'd love the opportunity to support your team and help you achieve your goals.