Medical Virtual Assistant – Refills, Scheduling, Authorizations

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

📋 Description

• Collect necessary patient, insurance, and clinical data for authorization requests.

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

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

• Evaluate refill requests received through calls, messages, and telephone interactions.

• Verify required information and direct requests to the appropriate provider for approval.

• Follow up on outstanding requests and communicate status updates to patients.

• Schedule, reschedule, and confirm appointments for both new and existing patients.

• Handle calls related to appointments, refills, referrals, and authorizations, including returning calls.

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

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

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

• Oversee open messages to ensure they are resolved, documented, or escalated promptly.

• Analyze assigned returned, rejected, or pending claims.

• Submit requested medical records, corrected information, or pertinent documentation.

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

• Accurately document communications between patients, providers, and insurance in the appropriate system.

• Maintain clear records regarding completed tasks, pending actions, and follow-up dates.

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

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

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

• Assist with additional administrative duties as clinic workflows and operational needs change.

⛳️ Requirements

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

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

• Proficiency in processing or supporting prior authorizations.

• Experience in coordinating prescription refill requests.

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

• Familiarity with electronic health records and telephone interactions.

• Strong written and verbal communication skills in English.

• Ability to document information clearly and accurately.

• Excellent organizational and time-management capabilities.

• Capacity to manage multiple queues, messages, and follow-up tasks effectively.

• Ability to identify when a concern necessitates escalation.

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

• Dependable internet connection and a secure home-based work environment.

🏝️ Benefits

• [Add benefits here]