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Yvette Nudalo

@yvettenudalo

Medication Prior Authorization Specialist at OptumRx / UHG who facilitated access to biologic and specialty medications.

Philippines

Message

At OptumRx / UHG, I facilitated access to complex biologic and specialty medications as a Medication Prior Authorization Specialist.

I performed real-time insurance eligibility verifications and managed electronic prior authorization submissions through CoverMyMeds and payer portals.

I monitored pending and incomplete requests, secured approvals, and helped resolve clinical denials through targeted appeals and peer-to-peer coordination.

In earlier customer service roles at Results CX, Contact Point 360, and Sykes Asia, I resolved customer issues and responded to requests about products and services.

Experience

Work history, roles, and key accomplishments

Prior Authorization Specialist

OptumRx / UHG

Sep 2024 - Jun 2026 (1 year 9 months)

Facilitated access to complex biologic and specialty medications, performed real-time insurance eligibility verifications, and managed electronic PA submissions through CoverMyMeds and payer portals. Controlled the entire authorization pipeline, securing approvals and resolving clinical denials through appeals and peer-to-peer coordination.

Prior Authorizations CoverMyMeds Payer Portals Biologics Specialty Medications Insurance Eligibility Verification Clinical Denials Appeals Peer To Peer Coordination HIPAA

Result Associate

Results CX

Sep 2023 - Dec 2023 (3 months)

Increased customer satisfaction by resolving complex issues and providing exceptional services. Established strong relationships with key stakeholders and enhanced team productivity by streamlining communication and implementing efficient project management tools.

Customer Satisfaction Problem Solving Stakeholder Management Communication Skills Project Management Tools Strategy Implementation

Airline Customer Service Agent

Contact Point 360

Oct 2022 - Aug 2023 (10 months)

Provided exceptional customer service with empathetic listening and effective problem-solving skills. Maintained calm under pressure while managing stressful situations involving delayed or canceled flights.

Customer Service Empathy Problem Solving Stress Management Communication Skills

Customer Service Representative

Sykes Asia

Feb 2020 - Aug 2022 (2 years 6 months)

Resolved customer complaints with empathy, resulting in increased loyalty and repeat business. Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.

Customer Service Complaint Resolution Empathy Conflict Resolution Stress Management Communication Skills

Local Financial Collector

Aeon Credit Service

Sep 2020 - Dec 2020 (3 months)

Improved cash flow for the company through timely collections of outstanding receivables. Enhanced client satisfaction by resolving disputes and providing clear explanations of billing issues.

Collections Receivables Management Dispute Resolution Customer Satisfaction Billing