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

• Process 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 to providers for approval

• Arrange, adjust, and confirm patient appointments

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

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

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

• Address routine inquiries or direct them to the appropriate clinic team members

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

• Examine returned, rejected, or pending claims

• Submit medical records, corrected information, or necessary documentation

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

• Accurately record communications with patients, providers, and insurance companies

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

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

• Collaborate with virtual assistants, providers, and on-site clinic staff

• Provide updates on assigned, pending, and completed tasks

• Support additional administrative duties as clinic workflows change

⛳️ Requirements

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

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

• Experience in processing or supporting prior authorizations

• Experience in coordinating prescription refill requests

• Experience in patient scheduling and managing inbound and outbound calls

• Familiarity with electronic health records and telephone interactions

• Excellent written and verbal communication skills in English

• Ability to document information clearly and precisely

• Strong organizational and time-management capabilities

• Ability to handle multiple queues, messages, and follow-up tasks

• Ability to identify when a concern needs to be escalated

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

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

• Preferred: Experience with eClinicalWorks

• Preferred: Experience with claims follow-up, medical record submissions, corrected claims, or basic appeals

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

• Preferred: Familiarity with HIPAA regulations and patient privacy standards

• Preferred: Experience in supporting a growing or high-volume medical practice

• Preferred: Ability to work independently while maintaining regular communication with the team

🏝️ Benefits

• Opportunity to work remotely

• Part-time schedule of 30 hours per week

• Secure home-based work environment