Medical Virtual Assistant, Outbound Calls, Prior Authorization, Claims Support

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

📋 Description

• Medication & Refill Management: Handle, verify, and route prescription refill requests; inform patients and pharmacies of refill outcomes; monitor and oversee refill queues within Athena.

• Prior Authorization & Appeals: Initiate and monitor prior authorizations for chronic care and weight-management prescriptions; follow up on outstanding authorizations; process appeals as necessary.

• Claims Processing & Insurance Follow-Up: Support basic claims processing; assess claim status; follow up on denied or pending claims; accurately document claim updates.

• Patient Communication: Make outbound calls for appointment reminders; convey provider instructions and clinic updates; address patient inquiries; document patient acknowledgments and follow-up needs.

• Clinical Coordination: Upload and organize documents from outside facilities; manage discharge summaries and lab-related paperwork; ensure timely routing of clinical information.

• Administrative Support: Keep precise records of inbox and outbox documentation; assign tasks to the relevant team members; maintain clean and updated documentation.

⛳️ Requirements

• Minimum of 1 year of experience as a Medical Virtual Assistant, Clinical Support VA, Medical Assistant, or a comparable role.

• Demonstrated hands-on experience with Athena is essential.

• Excellent outbound calling abilities and professional communication skills.

• Experience with prior authorizations.

• Background in claims processing or insurance follow-up.

• High level of accuracy in documentation and task management capabilities.

• Ability to operate independently in a fast-paced clinic setting.

• Familiarity with CoverMyMeds.

• Proficient in communicating with patients, pharmacies, providers, and insurance representatives.

🏝️ Benefits

• Comprehensive health insurance coverage.

• Opportunities for professional development and advancement.

• Flexible working hours to support work-life balance.

• Collaborative and supportive team environment.