Stephanie Arevalo

Healthcare Virtual Assistant specializing in ABA prior authorization, insurance verification, and clinical coordination. Experienced in managing end-to-end authorization workflows, coordinating with providers and payers, and ensuring timely approvals for patient care continuity.

ABA Health Prior Authorization Specialist - US-Based Facility - US

(2025-08 - 2026-05)

• Lead the end-to-end prior authorization process for ABA and adaptive behavioral services, including Verification of Benefits (VOB), submission, tracking, audits, and renewals—ensuring timely and uninterrupted patient care.
• Coordinate closely with BCBAs, PCPs, payers, and caregivers to streamline service initiation and maintain continuity of care across all stages of treatment.
• Collect, review, and follow up on required documentation such as diagnosis reports, ABA referrals, treatment plans, and clinical notes from providers and caregivers to support accurate authorization requests.
• Prepare, submit, and manage initial, reassessment, and ongoing authorizations using Silna and multiple payer portals, ensuring compliance with payer-specific requirements.
• Proactively follow up with insurance carriers to monitor authorization status, resolve discrepancies, and prevent delays, denials, or service interruptions.
• Navigate a wide range of commercial and Medicaid payers (Aetna, Cigna, UnitedHealthcare/Optum, and multi-state plans), ensuring efficient handling of varying guidelines and workflows.
• Utilize platforms such as Appsmith, Freshservice, Availity, Lucet Portal, QGlobal, and WPS to support authorization processing, tracking, and documentation management.
• Communicate clearly and consistently with caregivers and clients, providing real-time updates on authorization status, required documents, and next steps to ensure a seamless care experience.

Lead Generation Specialist - Direct Client

(2024-06 - 2025-08)

• Managed the end-to-end sales funnel, from lead generation and qualification to coordination with operations for ATM installation and deployment.
• Conducted outbound cold calls to business owners (retail stores, gas stations, and commercial locations) to present ATM placement opportunities and service benefits.
• Performed market research to identify high-potential locations for ATM placements, supporting strategic business expansion and revenue growth.
• Created and managed engaging content across LinkedIn, Facebook, and Instagram to promote services, increase visibility, and attract potential business partners and clients.

Virtual Assistant | Email & Chat Support - Direct Client

(2024-03 - 2025-04)

• Provided administrative support by managing client inquiries, follow-ups, and appointment scheduling via email and chat.
• Created, scheduled, and managed social media content across Instagram, LinkedIn, and Facebook to maintain brand engagement and visibility.
• Maintained accurate client records and internal documentation to support efficient and organized business operations.
• Assisted in resolving client concerns by coordinating timely responses and ensuring effective communication between clients and internal teams.

Prior Authorization Specialist - Everise

(2022-08 - 2024-08)

• Managed high-volume inbound inquiries from patients, physicians, and pharmacists regarding medication prior authorization requests.
• Applied knowledge of insurance verification, eligibility, and ICD-10 coding to ensure accurate data entry and support efficient reimbursement processes.
• Communicated proactively with healthcare providers to provide real-time updates on authorization status, including approvals, denials, and requests for additional clinical information.
• Facilitated submission of prior authorization requests, including refills and new requests, via CoverMyMeds, phone, and fax while ensuring complete medical documentation from hospitals, clinics, and pharmacies.
• Assisted in sending authorization approval and denial letters to providers and facilities, ensuring timely and accurate communication of payer decisions.

Customer Care Representative - Sc Reservations

(2022-02 - 2022-08)

• Handled hotel reservation and rewards inquiries via phone, ensuring smooth issue resolution and high customer satisfaction.
• Delivered timely updates and clear communication to loyalty members regarding case progress and service requests.
• Resolved customer concerns with professionalism and empathy, effectively de-escalating issues while maintaining brand trust and service quality.

Associate Customer Service - Sutherland

(2021-07 - 2022-01)

• Resolved service and billing concerns with a customer-focused approach, ensuring customer satisfaction and retention.
• Handled inquiries related to billing discrepancies, service interruptions, and account updates with professionalism and accuracy.
• Educated customers on available plans, devices, and promotions to support informed purchasing decisions.
• Delivered clear, solution-oriented support, contributing to improved customer experience and long-term customer loyalty.

Bachelor of Science - Accounting Technology - Carlos Hilado Memorial State College