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Marc

Marc

ProfessionalUSD 7 - 100/hour

Philippines
Open to Any Hours
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About

I am a healthcare operations professional with over 10 years of experience supporting U.S. healthcare systems through insurance verification, prior authorization, and customer service. I have worked extensively with Medicaid and commercial insurance plans, ensuring accurate documentation, eligibility validation, and compliance with healthcare regulations. My background includes high-volume outbound and inbound calling, coordination with provider offices, and tracking authorization statuses while maintaining empathy and professionalism. I am highly detail-oriented, organized, and thrive in fast-paced, deadline-driven environments that require accuracy and consistency. As a Subject Matter Expert and Prior Authorization Specialist, I have supported teams with process improvement, documentation review, and insurance coordination. I am proficient with CRM systems, shared drives, and document tracking tools, and I adapt quickly to changing workflows. With a Bachelor of Science in Nursing and strong communication skills, I bring both clinical understanding and operational efficiency to my work. I am passionate about supporting patients, families, and caregivers by simplifying complex healthcare processes and delivering compassionate, reliable service.

Skills

Prior Authorization Processing Insurance Verification & Eligibility Review Medicaid & Commercial Insurance Knowledge Healthcare Documentation Compliance (HIPAA) High-Volume Inbound & Outbound Calling Patient & Provider Communication Customer Service in Healthcare Settings Medical Terminology Proficiency Authorization Status Tracking & Follow-Ups CRM & Healthcare Systems Navigation Document Review & Expiration Tracking Attention to Detail & Accuracy Time Management & Task Prioritization Fast-PacedDeadline-Driven Workflows Process Improvement & Operational Support Subject Matter Expert (SME) Support Insurance Coordination & Case Management Professional Written & Verbal Communication Data Entry & Records Management Compassionate Patient Advocacy

Work Experience

Prior Authorization Coordinator

Access Healthcare

Verification of Benefits Representative

Abbott Inc

Provider Service Coordinator

Evolent

Education

Manuel S. Enverga University Foundation

Bachelor of Science in Nursing

Intro Video

Work Preferences

Employment Type
Work Setup
TimezoneOpen to Any Hours

Workspace

DeviceNoise Cancelling Headset, Microphone, Desktop, Wired internet
ConnectivityHome Fiber 300mbps

Resume

Profile updated April 10, 2026

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