Medical Virtual Assistant – Refills, Scheduling, Authorizations

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

📋 Description

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

• Process prior authorizations through payer portals, phone, fax, or other approved channels.

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

• Assess and coordinate prescription refill requests from calls, messages, and telephone encounters.

• Verify refill information, direct requests to providers, follow up on outstanding requests, and relay updates to patients.

• Arrange, modify, and confirm appointments.

• Handle and return calls regarding appointments, refills, referrals, and authorizations.

• Contact patients for follow-up, to gather missing information, or to coordinate appointments.

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

• Address routine inquiries or redirect them to the appropriate clinic team member.

• Oversee open messages to ensure they are completed, documented, or promptly escalated.

• Analyze returned, rejected, or pending claims.

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

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

• Accurately record communications with patients, providers, and insurance companies.

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

• Escalate 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 requirements change.

⛳️ Requirements

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

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

• Background in processing or supporting prior authorizations.

• Proficiency in coordinating prescription refill requests.

• 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 capabilities.

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

• Ability to identify when an issue needs to be escalated.

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

• Reliable internet connection and a secure home office environment.

• Preferred: Experience with eClinicalWorks.

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

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

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

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

• Preferred: Capability to work independently while maintaining consistent communication with the team.

🏝️ Benefits

• Comprehensive training and onboarding process.

• Opportunities for professional development and growth.

• Flexible working hours to promote work-life balance.

• Collaborative and supportive team environment.