Medical Virtual Assistant – Refills, Scheduling, Authorizations

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

📋 Description

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

• Process prior authorizations via payer portals, phone, fax, or other sanctioned methods.

• Monitor pending requests, liaise with insurance companies, and escalate any delays or denials.

• Assess and coordinate prescription refill requests, forwarding them to providers for approval.

• Schedule, reschedule, and confirm patient appointments.

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

• Reach out to patients for follow-ups, missing information, or appointment coordination.

• Review voicemails, AI-generated messages, and telephone interactions within eClinicalWorks.

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

• Oversee open messages to guarantee completion, documentation, or prompt escalation.

• Analyze returned, rejected, or pending claims.

• Submit medical records, corrected information, and necessary supporting documentation.

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

• Meticulously document communications with patients, providers, and insurance entities.

• Keep detailed notes on completed tasks, pending actions, and follow-up dates.

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

• Collaborate with the current virtual assistant, providers, and onsite clinic staff.

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

• Assist with additional administrative duties as clinic workflows and operational needs change.

⛳️ Requirements

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

• Experience working with a medical practice based in the U.S.

• Background in processing or supporting prior authorizations.

• Proficient in coordinating prescription refill requests.

• Experience in scheduling patients and managing both inbound and outbound calls.

• Familiarity with electronic health records and telephone interactions.

• Excellent written and verbal communication skills in English.

• Ability to document information clearly and accurately.

• Strong organizational and time-management capabilities.

• Competence in managing multiple queues, messages, and follow-up tasks.

• Ability to identify when a concern needs escalation.

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

• Reliable internet connection and a secure home-based working environment.

• Preferred: experience with eClinicalWorks.

• Preferred: experience in claims follow-up, medical record submissions, corrected claims, or basic appeals.

• Preferred: experience working with AI-assisted phone or patient messaging systems.

• Preferred: knowledge of HIPAA regulations and patient privacy standards.

• Preferred: experience supporting a growing or high-volume medical practice.

• Preferred: ability to work independently while maintaining regular communication with the team.

🏝️ Benefits

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

• Regular communication with the team.

• Professional development or other benefits are not specified.