Medical Virtual Assistant – Prior Authorization

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

📋 Description

• Prepare, submit, track, and follow up on medication prior authorizations, including requests for Medicare and Medicaid.

• Review payer requirements and clinical documentation to avoid processing delays.

• Communicate with insurers, pharmacy benefit managers, and pharmaceutical support programs.

• Resolve authorization issues while maintaining accurate EHR authorization records.

• Verify insurance eligibility, active coverage, benefits, and copay amounts.

• Contact insurance representatives to document coverage and the patient's financial responsibilities.

• Create clinical note templates and transfer selected information into the EHR for provider evaluation.

• Complete administrative sections of FMLA and short-term disability forms.

• Draft return-to-work and return-to-school letters utilizing approved templates.

• Prepare lab requisitions and manage patient records.

• Monitor prescription refill requests and assist with intake, scheduling, and virtual appointment links.

• Organize patient requests and administrative tasks for the appropriate team members.

• Respond to patient calls when priority responsibilities are up-to-date.

• Participate in daily phone check-ins and provide start-of-day/end-of-day updates via WhatsApp.

• Attend Google Meet training sessions and independently implement practice-specific workflows.

⛳️ Requirements

• Experience in medication prior authorization is required, including hands-on processing, navigation of payer requirements, and independent follow-up on pending or denied requests.

• Experience in insurance verification and copay management is required.

• Previous support experience in U.S. healthcare practices is required.

• EHR/EMR experience is required.

• Experience in medical documentation and template management is required.

• Strong computer skills and proficiency in navigating various software platforms are required.

• Clear and professional communication skills in English, both spoken and written.

• Relevant work experience is necessary.

• NBI Clearance and/or Local Police Clearance is mandatory prior to onboarding.

• Availability to join 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 working webcam is required.

• A quiet and professional work environment is mandatory.

• Experience with CoverMyMeds is highly preferred.

• Experience with Medicare and Medicaid is highly preferred.

• Experience in psychiatry/behavioral health is preferred.

• Experience with administrative forms is preferred.

🏝️ Benefits

• Dedicated HR & Contractor Support Team.

• Premium VPN Access (Optional).

• HIPAA & Cybersecurity Training + Certification (Provided).

• Top 1% VA Performance Training.

• Client-Approved U.S. Holidays.

• Client-Approved Paid or Unpaid Time Off.

• Access to Tools & Resources.

• Optional Performance-Based Incentives.

• Potential to transition to full-time after approximately 2–3 weeks, depending on performance and practice needs.