Medical Virtual Assistant - Prior Authorization Specialist

New
W
Winning AssistantsBehavioral health
Preferred Candidate Location: Philippines, Must be available to work the required 20-hour weekly schedule in Central Time.Contract
Salary$5–$6 per hour, depending on experience
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Job Details

Languages
Excellent written and verbal English communication skills.
Required Skills
HIPAA

Requirements

  • Have hands-on prior authorization experience, including processing, tracking, and following up on requests.
  • Have previous experience in a behavioral health, mental health, or general healthcare setting.
  • Have strong inbound and outbound call-handling experience, including patient inquiries and pharmacy coordination.
  • Have experience with patient scheduling, email management, referrals, and medical administrative tasks.
  • Communicate clearly and professionally in written and spoken English.
  • Have HIPAA training or certification and a strong understanding of patient confidentiality.
  • Be available for the required 20-hour weekly schedule in Central Time.
  • Provide an NBI Clearance and/or Local Police Clearance before onboarding.
  • Be able to attend video meetings with the camera on when required.
  • Have a reliable laptop or desktop computer, stable high-speed internet of at least 25 Mbps, a noise-canceling headset, and a working webcam.
  • Have a quiet and professional work environment.
  • Preferred: experience supporting a psychiatric, behavioral health, or addiction treatment practice; familiarity with Charm EHR, Ooma VoIP or similar phone systems; experience with medication-related prior authorizations; or experience as a Medical Virtual Assistant or Virtual Medical Receptionist.

Responsibilities

  • Process and follow up on prior authorization requests, particularly for medications.
  • Coordinate with insurance companies and pharmacies to obtain approvals and resolve authorization issues.
  • Track pending authorization requests, monitor statuses, and maintain accurate documentation.
  • Handle incoming and outgoing calls from patients, pharmacies, and insurance representatives.
  • Respond to patient inquiries professionally and compassionately, and provide virtual receptionist support.
  • Coordinate pharmacy communications and medication-related requests.
  • Schedule, reschedule, and coordinate patient appointments.
  • Monitor, organize, and respond to emails; process referrals and manage incoming and outgoing faxes.
  • Monitor and respond to patient messages through Charm EHR and maintain accurate patient records.
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$5–$6 per hour, depending on experience
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