Prior Authorization & Billing Specialist
New
W
Winning AssistantsHealthcare administration
Workable workplace: remote; Workable locations: Philippines; Location: Philippines, 9:00 AM – 6:00 PM Pacific Daylight Time, Monday - FridayFull-TimeJunior
Salary5 - 6 USD per year
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Job Details
- Languages
- Excellent English communication skills, both written and verbal. Must speak and write English clearly and professionally.
- Experience
- At least 1 year of experience in medical virtual assistance, healthcare administration, medical billing, prior authorization, or a similar healthcare-related role.
Requirements
- At least 1 year of experience in medical virtual assistance, healthcare administration, medical billing, prior authorization, or a similar healthcare-related role.
- Strong understanding of medical administrative workflows and willingness to undergo training for practice-specific processes.
- Experience handling patient calls, triage, intake, and patient coordination.
- Knowledge of prescription refill workflows, insurance eligibility verification, and medical claims processes.
- Excellent English communication skills, both written and verbal; must speak and write English clearly and professionally.
- Strong organizational skills, attention to detail, and ability to manage multiple responsibilities efficiently.
- Ability to work independently in a remote healthcare environment while maintaining patient confidentiality.
- Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding.
- Must be available to attend video meetings with camera on when required.
- Reliable laptop or desktop computer and stable high-speed internet connection of at least 25 Mbps.
- Noise-canceling headset, working webcam, and quiet, professional workspace.
Responsibilities
- Process, track, and follow up on prior authorization requests.
- Answer and triage incoming patient calls, gather information, address general inquiries, and route concerns to appropriate healthcare personnel.
- Process prescription refill requests and coordinate provider approvals and follow-up.
- Manage medical billing, including claims preparation, submission, routing, payment posting, status monitoring, and follow-up on outstanding or denied claims.
- Verify patient insurance eligibility, benefits, and coverage, and correct insurance information or package selections in Athena EHR when needed.
- Assist with overflow patient calls during high-volume periods.
- Maintain patient records, insurance information, authorization statuses, and billing documentation in the practice's EHR system.
- Coordinate with healthcare providers, insurance representatives, pharmacies, and internal team members to resolve patient and administrative concerns.
- Handle patient information accurately and confidentially in compliance with HIPAA regulations.
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