Medical Virtual Assistant, Refills, Scheduling, Authorizations

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

📋 Description

• Collect patient, insurance, and clinical data necessary for prior authorizations.

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

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

• Review and manage prescription refill requests, routing them for provider approval.

• Schedule, reschedule, and confirm patient appointments.

• Handle calls related to appointments, refills, referrals, and authorizations, both answering and returning them.

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

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

• Keep track of open messages to ensure they are completed, documented, or escalated as needed.

• Assess returned, rejected, or pending claims.

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

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

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

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

• Escalate urgent, clinical, or complex matters to providers or the office manager.

• Work collaboratively with virtual assistants, providers, and onsite clinic staff.

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

• Support additional administrative responsibilities as clinic workflows change.

⛳️ Requirements

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

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

• Familiarity with processing or supporting prior authorizations.

• Experience in coordinating prescription refill requests.

• Proficiency in scheduling patients and managing inbound and outbound calls.

• Knowledge of electronic health records and telephone encounters.

• Excellent written and verbal communication skills in English.

• Capability to document information in a clear and accurate manner.

• Strong organizational and time-management abilities.

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

• Ability to identify issues that require escalation.

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

• Reliable internet connection and secure home-based work setting.

• Experience with eClinicalWorks is preferred.

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

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

• Knowledge of HIPAA regulations and patient privacy standards is preferred.

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

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

🏝️ Benefits

• Opportunity for remote work.

• Part-time schedule of 30 hours per week.

• Secure home-based work environment.