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 methods

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

• Evaluate prescription refill requests and direct them to providers for approval

• Follow up on refill requests and update patients on their status

• Arrange, rearrange, and confirm patient appointments

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

• Reach out to patients for follow-up, to obtain missing information, or for appointment coordination

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

• Address routine requests or direct them to the relevant clinic team member

• Keep track of open messages to ensure timely completion, documentation, or escalation

• Analyze returned, rejected, or pending claims

• Submit medical records, corrected information, or necessary supporting documents

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

• Accurately document communications among patients, providers, and insurance

• 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 the existing virtual assistant, providers, and onsite clinic personnel

• Provide updates on assigned, pending, and completed tasks

• Support additional administrative duties as clinic workflows develop

⛳️ Requirements

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

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

• Familiarity with processing or supporting prior authorizations

• Experience in coordinating prescription refill requests

• Background in scheduling patients and managing both inbound and outbound calls

• Knowledge of 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

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

• Ability to identify when a concern requires escalation

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

• Reliable internet connection and a secure home office environment

• Preferred: Experience with eClinicalWorks

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

• Preferred: Experience using 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 consistent communication with the team

🏝️ Benefits

• Opportunity to work remotely

• Part-time schedule (30 hours/week)