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 via payer portals, phone, fax, or other approved channels

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

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

• Arrange, modify, and confirm patient appointments

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

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

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

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

• Oversee open messages to ensure they are completed, documented, or escalated as needed

• Assess returned, rejected, or pending claims

• Submit medical records, corrected details, and necessary supporting documentation

• Assist with straightforward claim resubmissions, basic appeals, and payer follow-ups

• Accurately log communications with patients, providers, and insurance companies

• Keep records of completed tasks, outstanding actions, and follow-up timelines

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

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

• Provide updates on assigned, pending, and accomplished duties

• Support additional administrative tasks as clinic operations evolve

⛳️ Requirements

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

• Experience with a U.S.-based medical practice

• Background in processing or assisting with prior authorizations

• Experience in coordinating prescription refill requests

• Proven track record in scheduling patients and managing inbound and outbound calls

• Familiarity with electronic health records and telephone interactions

• Excellent written and verbal communication skills in English

• Capacity to document information clearly and accurately

• Strong organizational and time-management abilities

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

• Ability to identify when an issue needs escalation

• High standard of professionalism, confidentiality, and attention to detail

• Reliable internet connection and a secure home-based workspace are essential

• Preferred: Experience with eClinicalWorks

• Preferred: Familiarity with claims follow-up, medical record submissions, corrected claims, or basic appeals

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

• Preferred: Understanding of HIPAA regulations and patient privacy standards

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

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

🏝️ Benefits

• Part-time schedule of 30 hours per week

• Opportunity for remote work

• A reliable internet connection and a secure home-based work environment are required for this position