Medical Virtual Assistant - Prior Authorization & Patient Coordinator
New
S
Staffing for DoctorsHealthcare
PhilippinesFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- English
- Experience
- 2+ years
- Required Skills
- EHRHIPAA
Requirements
- 2+ years of hands-on experience managing medication prior authorizations.
- Experience with insurance denials, formulary exceptions, and appeals.
- Proven experience in U.S. healthcare workflows and insurance verifications.
- Superior spoken English and active listening skills with a warm phone presence.
- Familiarity with CoverMyMeds, major U.S. insurance portals, and HIPAA-compliant tools.
- Proficiency with standard EHR platforms like AthenaHealth or eClinicalWorks.
- Experience in a pediatric or family practice is highly preferred.
- Strong organizational skills and ability to operate autonomously.
Responsibilities
- Independently initiate, track, and manage active medication prior authorization cases.
- Review insurance denials, gather clinical documentation, and submit formal appeal letters.
- Proactively contact U.S. commercial, Medicare, and Medicaid payers to resolve authorization bottlenecks.
- Serve as a primary point of contact for U.S. patients or parents via phone, SMS, and email.
- Verify medical and pharmacy benefits, copays, and deductibles prior to order queuing.
- Maintain accurate documentation across practice management systems and payer portals.
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