Medical Virtual Assistant – Prior Authorization, Healthcare Administration

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

📋 Description

• Prepare, submit, track, and oversee healthcare prior authorization requests.

• Collaborate with insurance providers to understand authorization requirements and submission protocols.

• Ensure the accuracy and completeness of patient, provider, and supporting documentation.

• Follow up on pending authorization requests and keep track of determinations.

• Monitor approvals, denials, pending requests, outstanding documentation, authorization numbers, effective dates, and expiration dates.

• Keep an eye on authorization expiration dates and send timely reminders.

• Identify discrepancies in authorizations or missing requirements and facilitate resolutions.

• Communicate updates and concerns regarding authorizations to healthcare personnel.

• Manage incoming calls by answering, screening, routing, and documenting them.

• Escalate urgent or sensitive issues according to established protocols.

• Provide assistance with outbound administrative follow-ups and outreach.

• Maintain records of staff credentials, certifications, and training.

• Track renewal deadlines and issue reminders.

• Update credentialing trackers, spreadsheets, and administrative files.

• Follow up on any missing or incomplete credentialing and training requirements.

• Assist with confidential HR documentation and compliance-sensitive tracking.

• Verify patient insurance eligibility, coverage, and benefits.

• Support medical billing tasks and organize billing records and follow-ups.

• Engage in community outreach through calls and email.

• Assist with scheduling and coordinating appointments.

• Support data entry, document organization, and various clerical tasks.

• Collaborate with internal staff on administrative requests.

• Uphold HIPAA compliance and maintain patient confidentiality.

⛳️ Requirements

• Demonstrated hands-on experience in submitting, tracking, and managing U.S. healthcare prior authorizations (mandatory).

• Knowledge of insurance authorization requirements, submission processes, and payer follow-up methods.

• Experience in monitoring authorization statuses, approval dates, and expiration dates.

• Ability to identify missing documentation and resolve administrative issues related to authorizations.

• Strong attention to detail when reviewing authorization requests and supporting documents.

• Capability to maintain organized trackers and independently follow up on outstanding requests.

• Previous experience supporting healthcare practices or administrative operations in the U.S.

• Familiarity with typical healthcare workflows, medical terminology, and insurance processes.

• Understanding of insurance eligibility, benefits verification, and general medical billing support.

• Experience in maintaining accurate patient or administrative records.

• Knowledge of HIPAA regulations and patient confidentiality.

• Ability to manage healthcare information professionally and securely.

• Excellent verbal and written communication skills in English (mandatory).

• Strong phone etiquette and confidence in handling both incoming and outgoing calls.

• Ability to communicate effectively with patients, insurance representatives, staff members, and external contacts.

• Strong active listening skills and attention to detail when recording messages.

• Proficient in screening calls and appropriately routing inquiries.

• Comfortable communicating in a professional manner in a remote healthcare environment.

• Strong organizational abilities and capacity to manage multiple tasks and deadlines.

• Ability to maintain accurate trackers, spreadsheets, and administrative records.

• Attention to detail in monitoring staff credentials, certifications, and training expiration dates.

• Capability to provide timely reminders and follow up on outstanding requirements.

• Comfortable handling confidential administrative and staff information.

• Ability to learn and follow HR credentialing and compliance-tracking procedures.

• Experience with EHR/EMR systems or similar healthcare administrative platforms.

• Strong computer literacy and proficiency with digital documentation, spreadsheets, and online communication tools.

• Willingness and ability to learn Integrity Checkpoint EHR.

• Ability to work independently with minimal supervision.

• Strong problem-solving skills and proactive attitude towards administrative tasks.

• Excellent time management, multitasking, and prioritization skills.

• Dependable, adaptable, and committed to completing tasks accurately and on time.

• Must submit an NBI Clearance and/or Local Police Clearance prior to onboarding (mandatory).

• Must be available for video meetings with camera on when required.

• Must be available Monday through Friday, 1:00 PM to 5:00 PM Eastern Time.

• Reliable laptop or desktop computer.

• Stable high-speed internet connection (minimum 25 Mbps).

• Noise-canceling headset.

• Working webcam.

• Quiet and professional working environment.

🏝️ 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 (paid time off is optional and only if offered by the client).

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

• Optional Performance-Based Incentives, bonuses, or increased hours based on performance.