Medical Virtual Assistant – Refills, Scheduling, Authorizations

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

📋 Description

• Collect patient, insurance, and clinical data for prior authorization requests.

• Submit prior authorizations via payer portals, phone calls, faxes, or other approved methods.

• Monitor pending authorizations, follow up with insurance companies, and escalate any delays or denials.

• Evaluate prescription refill requests, verify information, direct requests for provider approval, and update patients accordingly.

• Schedule, reschedule, and confirm patient appointments.

• Handle incoming and outgoing calls related to appointments, refills, referrals, and authorizations.

• Reach out to patients for follow-up, obtain missing information, or coordinate appointments.

• Review voicemail, AI-generated messages, and telephone encounters using eClinicalWorks.

• Address routine requests or route them to the appropriate clinic team members.

• Keep track of open messages to ensure completion, documentation, or escalation as necessary.

• Examine returned, rejected, or pending claims.

• Submit medical records, corrected information, or any supporting documentation.

• Assist with straightforward claim resubmissions, basic appeals, and payer follow-up tasks.

• Accurately document communications with patients, providers, and insurance representatives.

• Maintain records of completed tasks, pending actions, and follow-up dates.

• Escalate urgent, clinical, or complex issues to the provider or office manager.

• Collaborate with virtual assistants, providers, and on-site clinic staff.

• Provide updates on assigned, pending, and completed tasks and responsibilities.

• Support additional administrative duties as clinic workflows develop.

⛳️ Requirements

• Minimum of one year experience as a Medical Virtual Assistant, Medical Administrative Assistant, Patient Coordinator, or a similar healthcare support role.

• Experience working within a U.S.-based medical practice.

• Background in processing or supporting prior authorizations.

• Experience in coordinating prescription refill requests.

• Proven experience in scheduling patients and managing inbound and outbound calls.

• Familiarity with electronic health records and telephone encounters.

• Excellent written and verbal communication skills in English.

• Ability to document information clearly and accurately.

• Strong organizational and time-management abilities.

• Capacity to manage multiple queues, messages, and follow-up tasks efficiently.

• Ability to determine when a concern needs to be escalated.

• High level of professionalism, confidentiality, and attention to detail.

• A reliable internet connection and a secure home-based work environment.

• Experience using eClinicalWorks is preferred.

• Background in claims follow-up, medical record submissions, corrected claims, or basic appeals is preferred.

• Experience with AI-assisted phone or patient messaging systems is preferred.

• Familiarity with HIPAA regulations and patient privacy standards is preferred.

• Experience in supporting a growing or high-volume medical practice is preferred.

• Ability to work independently while maintaining regular communication with the team is preferred.

🏝️ Benefits

• Remote work opportunities.

• Part-time schedule of 30 hours per week.