Medical VA | Prior Authorization Specialist
G
Global Medical Virtual AssistantsHealthcare administration
Workable workplace: remote; Workable locations: Quezon City, National Capital Region, Philippines; Permanent Work From HomeContractJunior
SalaryAt least 800 USD per month
Apply NowOpens the employer's application page
Job Details
- Experience
- Minimum of 6 months to 1 year of prior authorization or healthcare BPO experience handling US healthcare accounts.
- Required Skills
- HIPAA
Requirements
- Have 6 months to 1 year of prior authorization or healthcare BPO experience handling US healthcare accounts.
- Be familiar with insurance portals, EMR/EHR systems, and medical terminology.
- HIPAA Certification is a plus.
- Be open to working night shifts.
- Meet the minimum primary computer requirements: Intel Core i5-6000 (6th Gen or higher) or AMD Ryzen 5 or higher, 8 GB RAM, and Windows 11 64-bit or macOS Ventura.
- Have a USB headset with noise-cancelling feature and a camera capable of clear video output.
- Have primary DSL or fiber internet with a minimum contracted speed of 100mb/s and backup internet of at least 20mb/s via cell.
- Have a backup computer meeting the stated minimum specifications, or a UPS capable of powering the workstation for at least 3 hours.
Responsibilities
- Submit, track, and follow up on prior authorization requests.
- Call healthcare insurance companies to verify authorization requirements, check status, and resolve pending or denied requests.
- Verify patient insurance coverage, benefits, and plan requirements before scheduling procedures or submitting authorizations.
- Retrieve relevant medical history, clinical notes, and diagnostic reports.
- Act as the primary point of contact between medical providers, patients, and payors.
- Identify reasons for authorization denials and gather missing clinical information.
- Prepare basic appeal packages under the direction of healthcare providers.
- Provide back-office support, including data entry, email management, authorization tracking, and record management.
- Maintain confidentiality and adhere to HIPAA regulations when handling patient data, insurance details, and communications.
View Full Description & ApplyYou'll be redirected to the employer's site
