Medical Virtual Assistant – Hospice Intake, Insurance Verification, Billing Support

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Oversee the workflows for patient intake, both incoming and outgoing.

• Accurately manage incoming patient referrals and record referral details.

• Gather, assess, and document information from new patients.

• Follow up on any incomplete referral or intake documentation.

• Ensure patient and referral records are meticulously maintained.

• Collaborate with internal team members about referrals and patient requirements.

• Confirm patient insurance eligibility, benefits, coverage, and Medicare details.

• Detect and rectify any issues with missing, inactive, or incorrect insurance data.

• Record the outcomes of insurance verifications.

• Aid in the submission, tracking, follow-up, and resolution of prior authorizations.

• Support workflows related to medical billing and claims.

• Analyze denied claims and probe into authorization, patient information, and insurance matters.

• Resolve pending claims and any claims on hold.

• Keep billing and authorization documents organized.

• Provide administrative assistance in the back office.

• Manage healthcare documentation and fax communications.

• Track and process orders along with other administrative duties assigned.

• Offer phone support to patients and address their inquiries.

• Assist with scheduling requests and direct patients accordingly.

• Collaborate with clinical and administrative personnel to ensure timely follow-ups.

• Achieve KPIs for accurate and prompt intakes, referrals, insurance verifications, documentation, follow-ups, authorizations, billing tasks, administrative duties, and handling patient inquiries.

⛳️ Requirements

• Prior experience as a Medical Virtual Assistant, Healthcare Virtual Assistant, or in a healthcare administrative role.

• Proven experience in managing patient intake and coordinating referrals.

• Practical experience in verifying insurance eligibility and benefits.

• Familiarity with Medicare information and coverage verification.

• Background supporting healthcare administrative and back-office processes.

• Excellent spoken and written communication skills in English.

• Comfortable engaging with patients over the phone.

• High attention to detail and precision when inputting patient, referral, and insurance data.

• Strong organizational skills, with a focus on follow-through and the ability to juggle multiple healthcare administrative responsibilities.

• Experience in a hospice care setting is highly preferred.

• Familiarity with MatrixCare / Matrix is strongly preferred.

• Experience with Athena EHR / athenahealth is highly preferred.

• Prior authorization experience is highly desirable.

• Experience in medical billing, claims processing, handling denied claims, or resolving claims is highly preferred.

• Verification experience regarding Medicare primary status is greatly preferred.

• Experience in supporting elderly, geriatric, palliative care, home health, or home-based patients is highly preferred.

• Must articulate and write in English clearly and professionally.

• Relevant work experience is required.

• An NBI Clearance and/or Local Police Clearance must be provided before onboarding.

• Availability for video meetings with the camera on, when necessary.

• A reliable laptop or desktop computer is essential.

• A stable high-speed internet connection of at least 25 Mbps is required.

• A noise-canceling headset is necessary.

• A functioning webcam is required.

• A quiet and professional workspace is essential.

🏝️ Benefits

• Dedicated HR & Contractor Support Team.

• Optional Premium VPN Access.

• HIPAA & Cybersecurity Training + Certification (Provided).

• Training for Top 1% VA Performance.

• Client-Approved U.S. Holidays.

• Client-Approved Paid or Unpaid Time Off; paid time off is optional and only if offered by the client.

• Access to Tools & Resources, which include templates, workflow guides, productivity tools, and client-specific SOP support.

• Optional performance-based bonuses, incentives, or increased hours based on performance.