Amira Rose Gregorio

Seeking a challenging position in a reputable organization where I can utilize my skills, knowledge, and strong work ethic to contribute to the company's success. Eager to learn, grow professionally, and gain valuable experience while delivering quality results and continuously improving my abilities.

Prior Authorization Specialist - Medcore Solutions

(2025-10 - 2026-05)

• Processing initiation and follow up Prior Authorization for outpatient Radiology (MRI/CT Scan procedures) through Fast Auth EMR
• Requests patient Medical records from the doctors clinics, through phone, emails, fax
• Process authorizations through payers portal Like Evicore, Availity, Humana, Carecore etc.
• Highly observes HIPPA

Prior Authorization Specialist / Payroll - Phoenix Virtual Solutions

(2023-06 - 2025-06)

• Processing Authorization for Home Health care, for Personal Care Assistant, through Kantime EMR
• Coordinating with the state plan and Case Managers
• Requests authorization through Payer portal, fax, email.
• Highly observes HIPPA
• If already done with authorizations and the payroll team needs help I do assist in processing the clock in and out of the nurses

Client Reviewer/Prior Authorization - Access Healthcare Services

(2019-05 - 2023-06)

• Processing authorizations for out patient procedures, like radiology, surgical outpatients, laboratories, inpatient procedure, OB-GYN related procedures, VA related (initiation, follow up cases, and denied cases)
• Process through portals like NIA, Availity, Evicore, AIM, Humana, UHC etc
• Process through fax, phone, email
• Highly observes HIPPA
• EMR that we used is Athena health

Medical Information Officer/ Clinical Reviewer/Team Lead - Etiqa Life and General Assurance Corp.

(2014 - 2019)

• Approves and reviews authorization requests by clinics, hospitals for outpatient and inpatient procedures and admissions.
• Process inpatient billing process.
• Coordinates and endorses clients especially VIP patients to the clinics and major hospitals here in the Philippines.
• Team leader from 2016-2019

Private Nurse

(2012 - 2014)

• Handles patient care which includes giving medications, and giving quality patient care

Volunteer Nurse - Bulacan Provincial Hospital

(2009 - 2010)

• Handles patient care which includes giving medications, and giving quality patient care

Technical Representative/ Customer Representative - PNI - KMPG

(2008 - 2009)

• Handles inbound calls for technical support.

BS in Nursing - Nursing - Dr. Yanga's Colleges (2006 - 2008)

BS in Nursing - Nursing - Bulacan State University (2004 - 2006)