Raiza

Prior Authorization Specialist | Clinical Reviewer (PT Background)

Verified

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Overview

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

at $5.06/hour ($960.00/month)

Bachelors degree

Last Active

January 17th, 2026 (116 days ago)

Member Since

January 17th, 2026

Profile Description

I bridge the gap between clinical complexity and administrative precision. With a professional background as a Licensed Physical Therapist and over two years of specialized experience in the US Healthcare Revenue Cycle, I ensure patients receive the care they need without financial or administrative delays.
Clinical Expertise: As a former Physical Therapist, I understand orthopedic and neurological diagnoses, allowing for more accurate data abstraction than a general administrative assistant.
Platform Proficiency: Expert navigator of Availity, Navinet, Carelon, and major EHR systems (Athenahealth).
Revenue Cycle Impact: I specialize in resolving clinical and insurance bottlenecks, specifically for high-cost specialty prescriptions and high-acuity procedures.
Multidisciplinary Liaison: Proven track record of coordinating between physicians, pharmacists, and payers to ensure seamless care transitions.

Customer Support » Insurance » Prior Authorization

Experience: 1 - 2 years

Other Skills

Office and Administration » Communication » German Language

Experience: 1 - 2 years

Basic Information

Age: 26

Gender: Female

Website: Sign Up with Pro Account to View

Address: Taguig, Manila

Tests Taken: None

Government ID: Sign Up with Pro Account to View

“I had this VA that I could turn things over to made it a lot easier”

Kyle Mckenna

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“I started getting some peace of mind and some traction!”

- Aaron Hall

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BENCHMARKS

Loading Time: Base Classes	0.0008
Controller Execution Time ( Jobseekers / Info )	0.0242
Total Execution Time	0.0256

GET DATA

No GET data exists

MEMORY USAGE

1,403,504 bytes

POST DATA

No POST data exists

URI STRING

jobseekers/info/4707146

CLASS/METHOD

jobseekers/info

DATABASE: onlinejobs (Jobseekers:$db) QUERIES: 28 (0.0153 seconds) (Show)

0.0003	`SELECT * FROM exrates WHERE rate_name = 'USD-PHP'`
0.0004	SELECT * FROM `jobseekers` WHERE `jobseeker_id` = '4707146' LIMIT 1
0.0020	SELECT * FROM `jobseeker_meta` WHERE `jobseeker_id` = '4707146'
0.0005	SELECT `j`., `jj`. FROM `jobseekers` `j` INNER JOIN `jobseekers_jobdata` `jj` ON `j`.`jobseeker_id` = `jj`.`jobseeker_id` WHERE `j`.`jobseeker_id` = '4707146'
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0.0003	SELECT * FROM `jobseekers` WHERE `jobseeker_id` = '4707146' AND `is_private` = 1
0.0003	`SELECT * FROM employment WHERE jobseeker_id = '4707146' AND hired > -1`
0.0003	SELECT `employers`.`contact_name`, `employer_comment`.`employer_comment_id`, `employer_comment`.`employer_id`, `employer_comment`.`jobseekers_id`, `employer_comment`.`employer_date`, `employer_comment`.`employer_comment`, `employer_comment`.`lastmodified`, `employer_comment`.`comment_status` FROM `employers` LEFT JOIN `employer_comment` ON `employer_comment`.`employer_id` = `employers`.`employer_id` WHERE `employer_comment`.`jobseekers_id` = '4707146' AND `employers`.`deactivate` = 0 AND `employer_comment`.`comment_status` = 'ACTIVE' ORDER BY `employer_comment_id` DESC
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0.0002	`SELECT * FROM jobseekers_jobdata WHERE jobseeker_id = 4707146 LIMIT 1`
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0.0002	`SELECT user_level, rebill_date, jobseekers_seen, jobseekers_seen_override from employers WHERE employer_id = ''`
0.0003	SELECT * FROM `testimonial_videos` WHERE `placement` = 1 OR `placement` = 0 ORDER BY RAND()
0.0003	SELECT * FROM `testimonial_videos` WHERE `placement` = 2 OR `placement` = 0 ORDER BY RAND()
0.0003	`select * from teasers`
0.0003	SELECT * FROM `employers` WHERE `employer_id` IS NULL LIMIT 1
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0.0003	SELECT * FROM `employers` WHERE `employer_id` IS NULL LIMIT 1
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0.0003	`SELECT user_level, rebill_date, jobseekers_seen, jobseekers_seen_override from employers WHERE employer_id = ''`
0.0003	`SELECT * FROM notes WHERE employer_id = '0'`

HTTP HEADERS (Show)

SESSION DATA (Show)

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Raiza

Prior Authorization Specialist | Clinical Reviewer (PT Background)

Overview

Profile Description

Top Skills

Customer Support » Customer Service

Office and Administration » Google Workspace

Office and Administration » Microsoft Outlook

Customer Support » Insurance » Prior Authorization

Other Skills

Office and Administration » Communication » German Language

Basic Information