Your Specialist for Denial-Free Insurance Verifications & Prior Authorizations

Welcome! For over six years, I have dedicated my career to mastering the complexities of the U.S. healthcare revenue cycle. I am passionate about bringing order and efficiency to medical practices, allowing providers and their staff to focus on what matters most: delivering excellent patient care.

My expertise lies in meticulously managing the critical front-end processes that prevent claim denials and ensure a healthy revenue cycle. I am not a general virtual assistant; I am a specialist with a deep understanding of how U.S. insurance carriers operate.

My Core Skills Include:

Insurance Verification (VOB): I provide thorough, accurate verification of benefits, confirming everything from co-pays and deductibles to out-of-pocket maximums.

Prior Authorization (PA): I manage the complete PA lifecycle, from submitting clinical data to following up with payers like Aetna, BCBS, UHC, Fidelis, and more to secure approvals.

Denial Prevention: With a background in resolving complex claim denials, my entire process is built around preventing them before they ever happen.

I pride myself on being exceptionally organized and detail-oriented. I build and utilize highly efficient systems (including custom Google Sheets trackers) to ensure no detail is ever missed and that you always have a clear view of your workflow status.

Outside of my professional work, I enjoy solving complex logic puzzles, a skill and mindset I bring to every administrative challenge I tackle.

I look forward to becoming a reliable, long-term partner in your practice's success.

Work Terms

Thank you for reviewing my profile. To ensure a smooth and professional working relationship, here are my standard work terms:

Hours of Operation: I work from Monday to Friday, 9:00 PM - 5:00 AM PHT (Philippine Standard Time). This schedule allows for significant overlap with U.S. morning hours (e.g., Eastern Time). I am committed to being available and responsive during our agreed-upon project hours.

Communication: My preferred method of communication is via Guru messages. This ensures all discussions and instructions are clearly documented.

Payment Terms: For the security of both parties, I exclusively use Guru's SafePay system. For fixed-price projects, SafePay funds are required before work begins. For hourly projects, invoicing and payments will be handled through the Guru platform.

Confidentiality: I treat all client and patient information with the utmost confidentiality and adhere to strict privacy standards in handling sensitive data.