Princess C.
Senior Medical Virtual Assistant
Open to offersNew to PlatformAbout
Princess C. is a seasoned Registered Nurse with over seven years of hands-on hospital experience and over six years as a Medical Virtual Assistant supporting U.S. healthcare providers remotely. She excels in crucial tasks such as prior authorization, insurance verification, and patient scheduling, leveraging her expertise to manage high volumes of patient needs efficiently. With substantial experience obtained working for organizations like Pain Management Florida and various other prestigious institutions, she ensures seamless coordination between healthcare teams and insurance representatives, maintaining compliance with HIPAA regulations. In her most recent role as a Prior Authorization Specialist, Princess adeptly navigated insurance portals, managed approvals for various insurance plans including Medicare and Medicaid, and utilized tools like eClinicalWorks and CoverMyMeds to optimize healthcare delivery. Her academic background from Our Lady of Fatima University and her extensive certifications, including HIPAA Compliance and Advanced Cardiac Life Support, underscore her commitment to advancing healthcare operations efficiently.
Experience
Prior Authorization Specialist
Pain Management/Florida · 2026 — PresentReviewed prior authorization requests to confirm medical necessity and adherence to payer guidelines. Verified insurance eligibility, benefits, and coverage for scheduled services. Processed prior authorizations across commercial, Medicare, Medicaid, and managed care plans. Analyzed medical records and physician notes to support authorization requests. Coordinated with healthcare providers and insurance representatives to gather necessary clinical documentation. Utilized multiple payer portals for benefit verification, prior authorization submission, and document tracking. Interpreted payer policies and managed criteria for medical necessity. Oversaw authorization requests to facilitate timely approvals and minimize delays in patient care.Medical Virtual Assistant
Women’s PLLC Clinic – Texas, USA · 2022 — 2023Managed inbound and outbound calls with patients and healthcare providers. Reviewed and organized patient prescriptions and supporting clinical documentation. Entered and updated patient data in the EHR/EMR system. Provided email and chat support to assist patients and healthcare providers in their inquiries.Intake Specialist
Healthcare Virtual Assistant 24HR DME Maryland, USA · 2021 — 2022Prepared and reviewed medical charts before patient appointments. Acquired and updated missing medical information prior to visits. Retrieved patient medical records and created structured progress notes using EHR templates. Conducted intake calls for patients 24–48 hours prior to their visits. Reviewed and uploaded clinical reports, imaging results, and lab reports to the system. Sent requisitions for labs and imaging tests requested by healthcare providers.Staff Nurse
Prince Sultan Military Medical City · 2018 — 2020Evaluated nursing needs and developed care plans to address them. Provided comprehensive nursing care following established protocols and evidence-based guidelines. Offered guidance on health promotion and disease prevention. Certified in Basic Life Support and Advanced Cardiac Life Support. Conducted monitoring of vital signs and maintained accurate patient records. Managed care for patients on mechanical ventilation and performed physical examinations. Ordered diagnostic tests and interpreted results, while maintaining compassion and an empathetic bedside manner.Staff Nurse 2/Pediatric Nurse
Jeddah Clinic Hospital Al-Kandara · 2015 — 2017Assessed and addressed nursing needs through the implementation and evaluation of care strategies. Ensured adherence to nursing protocols and evidence-based practices. Monitored temperature, pulse, breathing, and blood pressure, maintaining precise health records. Managed physical examinations, including vital measurements and laboratory sample collection. Collaborated with multidisciplinary teams to provide coordinated and compassionate patient care.
Skills & Expertise
Education
- Bachelor Science of NursingXavier college · 2006 — 2010
- Computer ScienceOur Lady of Fatima University Lagro QC · — — 2007