Medical Virtual Assistant – Refills, Scheduling, Authorizations

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

📋 Description

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

• Submit prior authorization requests via payer portals, phone, fax, or other accepted methods

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

• Review and coordinate prescription refill requests, directing them to providers for approval

• Schedule, reschedule, and confirm patient appointments

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

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

• Review voicemail, AI-generated messages, and phone interactions in eClinicalWorks

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

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

• Examine returned, rejected, or pending claims

• Submit medical records, corrected information, and supporting documentation

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

• Accurately document communications between patients, providers, and insurance companies

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

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

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

• Provide updates on assigned, pending, and completed tasks

• Support additional administrative duties as clinic workflows adapt

⛳️ Requirements

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

• Experience in 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 inbound and outbound calls

• Knowledge of 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 abilities

• Capability to manage multiple queues, messages, and follow-up tasks

• Ability to identify when a concern should be escalated

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

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

• Preferred: experience with eClinicalWorks

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

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

• Preferred: understanding of HIPAA requirements 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

• Remote work opportunity

• Part-time schedule of 30 hours per week

• Secure home-based work environment