Prescious Pigar

Medical Virtual Assistant | HIPAA Certified | 7+ Years U.S. Healthcare Experience

• HIPAA-certified with over 7 years of experience in the U.S. healthcare industry
• Specialized in end-to-end Prior Authorization and Insurance Verification
• Proven 90%+ approval rate for Pain Management procedures including:
• Epidural Injections
• SI Joint Injections
• Medial Branch Blocks (MBBs)
• Radiofrequency Ablation (RFA)
• Kyphoplasty
• Spinal Cord Stimulators
• Skilled in verifying benefits, gathering clinical documentation, submitting pre-certs, and following up with payers
• Familiar with U.S. insurance types and policies (Medicare, Medicaid, PPO, HMO)
• Proficient in EMR/EHR platforms including Athena and ModMed
• Experienced in navigating multiple payer portals such as Availity, NaviNet, and other insurance platforms
• Accurately updates and manages patient charts, insurance details, and authorization notes
• Experienced in handling denials including claim and communicating with insurance companies to dispute and appeal rejected authorizations
• Tracks authorization expiration dates and ensures timely renewals and approvals
• Works independently with minimal supervision; highly organized and detail-oriented
• Understands insurance compliance and pre-certification standards to avoid delays and denials
• Supports smooth clinic operations by aligning with scheduling, billing, and provider workflows
• Committed to maintaining patient confidentiality and data security under HIPAA guidelines
• Strong communication skills and responsive in fast-paced remote medical environments
• Dedicated to helping providers reduce administrative workload and ensure timely patient care

If you're looking for a Medical VA who understands the nuances of the U.S. insurance system and can help you stay ahead of prior auth delays, I’d love to connect and support your team.