Medical Virtual Assistant, Registered Nurse

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

📋 Description

• Provide support to a healthcare practice by handling prior authorizations, referrals, patient communications, medication refills, insurance verification, and administrative coordination.

• Submit, monitor, and follow up on insurance authorization requests.

• Liaise with insurance companies regarding approvals, denials, and necessary documentation.

• Review authorization criteria and ensure all supporting documentation is submitted.

• Track pending authorizations and offer status updates to providers and staff.

• Process and dispatch referrals to specialists and healthcare facilities.

• Organize referral documentation and follow-up actions.

• Ensure referrals are executed accurately and promptly.

• Communicate with specialty offices about referral status and scheduling.

• Professionally answer incoming patient calls.

• Return patient calls and follow up on inquiries.

• Assist patients with appointment-related issues and clinical requests.

• Process electronic requests for medication refills.

• Schedule and reschedule patient appointments as needed.

• Send appointment reminders through phone and text.

• Verify insurance eligibility and benefits for patients.

• Assist with inquiries and documentation related to insurance.

• Send and receive necessary faxes and clinical documents.

• Monitor KPIs for the timely completion of prior authorizations and referrals, maintain reliable availability during business hours, and ensure efficient turnaround time for insurance and referral requests.

⛳️ Requirements

• Must possess a Registered Nurse (RN) or Medical Assistant (MA) designation.

• Previous experience in healthcare or clinical settings is required.

• Experience with prior authorizations is essential.

• Familiarity with referrals and insurance verification is mandatory.

• Experience in handling medication refills is preferred.

• Previous experience as a virtual assistant is a plus.

• Knowledge of HIPAA training and compliance is required.

• Strong understanding of medical terminology and healthcare workflows is necessary.

• Experience in a medical office, clinic, or healthcare environment is important.

• Knowledge of insurance authorization and referral processes is beneficial.

• Understanding medication refill procedures is advantageous.

• College degree with significant healthcare experience is preferred.

• Must be fluent in spoken and written English.

• Relevant work experience is essential.

• Ability to provide an NBI clearance and/or Local Police Clearance background check prior to onboarding is mandatory.

• Availability for video meetings with the camera on (when required) is necessary.

• Device: Reliable laptop or desktop computer is required.

• Internet: High-speed connection with a minimum of 25 Mbps is needed.

• Audio: Noise-canceling headset is required.

• Video: Webcam for virtual meetings is necessary.

• Workspace: A quiet, professional environment is essential.

🏝️ Benefits

• Dedicated HR & Contractor Support Team: Access to exceptional support for queries, guidance, contract matters, and client communications.

• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.

• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently manage PHI for U.S. healthcare clients.

• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you excel as a top-performing VA and improve long-term client retention.

• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.

• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.

• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to assist you in performing at your best.

• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or additional hours based on your performance.