Medical Virtual Assistant – Refills, Scheduling, Authorizations

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

📋 Description

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

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

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

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

• Schedule, reschedule, and confirm patient appointments

• Handle calls regarding appointments, refills, referrals, and authorizations, both incoming and outgoing

• Contact patients for follow-ups, gather missing information, and coordinate appointments

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

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

• Monitor open messages to ensure completion, proper documentation, or escalation

• Review 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 related to patients, providers, and insurance

• Keep records of completed tasks, pending actions, and follow-up dates

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

• Collaborate with virtual assistants, providers, and onsite clinic staff

• Provide updates on assigned, pending, and completed responsibilities

• Assist with additional administrative tasks as clinic workflows evolve

⛳️ Requirements

• 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 coordinating prescription refill requests

• Proven ability 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 clearly and accurately

• Strong organizational and time-management abilities

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

• Ability to identify when a concern should be escalated

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

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

• Experience with eClinicalWorks is preferred

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

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

• Understanding of HIPAA requirements and patient privacy standards is preferred

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

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

🏝️ Benefits

• Remote work

• Part-time schedule of 30 hours per week

• Secure home-based work environment