Medical Virtual Assistant – Prior Authorization Specialist

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

📋 Description

• Process and manage prior authorization requests, especially for medications.

• Collaborate with insurance providers and pharmacies to secure approvals and address authorization challenges.

• Monitor pending requests, keep track of statuses, and ensure precise documentation.

• Manage incoming and outgoing communications with patients, pharmacies, and insurance representatives.

• Address patient inquiries with professionalism and empathy.

• Facilitate pharmacy communications and medication-related requests.

• Offer virtual receptionist assistance and support general front-desk inquiries.

• Schedule, reschedule, and organize patient appointments.

• Oversee, organize, and reply to emails.

• Process patient referrals and handle incoming and outgoing faxes.

• Monitor and respond to patient messages through Charm EHR.

• Keep accurate patient records and assist with daily administrative functions.

⛳️ Requirements

• Practical experience in prior authorization, including processing, tracking, and following up on requests.

• Prior work experience in a behavioral health, mental health, or general healthcare environment.

• Proficient in managing inbound and outbound calls, including patient inquiries and pharmacy coordination.

• Experience in patient scheduling, email management, referrals, and other medical administrative duties.

• Exceptional written and verbal communication skills in English.

• Training or certification in HIPAA and a solid understanding of patient confidentiality.

• Strong attention to detail, excellent organizational abilities, and the capability to handle multiple tasks accurately.

• Comfortable using healthcare software and navigating various systems.

• Dependable, proactive, self-motivated, and able to work independently.

• Patient, empathetic, and professional in communication with patients.

• Availability for a required 20-hour weekly schedule in Central Time.

• Relevant professional experience.

• Capacity to provide an NBI Clearance and/or Local Police Clearance prior to onboarding.

• Willingness to participate in video meetings with the camera on as needed.

• A reliable computer, minimum 25 Mbps stable high-speed internet, noise-canceling headset, working webcam, and a quiet professional workspace are essential.

• A medical degree or professional medical license is not necessary.

🏝️ Benefits

• Dedicated HR & Contractor Support Team: Access to exceptional support for inquiries, guidance, contract issues, and client communication.

• Premium VPN Access (Optional): A secure VPN license can be requested to enhance privacy and security for client-related activities.

• HIPAA & Cybersecurity Training + Certification (Provided): Access to internal HIPAA compliance training, cybersecurity modules, and certification.

• Top 1% VA Performance Training: Proprietary training focused on communication, client management, productivity systems, and best practices.

• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off based on client needs and scheduling.

• Client-Approved Paid or Unpaid Time Off: Time off may be permitted by the client; paid time off is optional and contingent on client offerings.

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

• Optional Performance-Based Incentives: Some clients may provide bonuses, incentives, or increased hours based on performance.