Medical Virtual Assistant (Prior Authorization & Healthcare Administration)
New
W
Winning AssistantsHealthcare administration
Preferred Candidate Location: Philippines, Monday to Friday, from 1:00 PM to 5:00 PM Eastern TimePart-Time
Salary6 - 7 USD per hour
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Job Details
- Languages
- Must be proficient in speaking and writing clear, professional English.
- Required Skills
- Microsoft ExcelHIPAA
Requirements
- Have mandatory hands-on experience submitting, tracking, and managing U.S. healthcare prior authorizations.
- Have relevant experience supporting U.S.-based healthcare practices or healthcare administrative operations.
- Be familiar with insurance authorization requirements, submission procedures, payer follow-ups, and authorization status tracking.
- Have clear, professional spoken and written English communication skills.
- Be comfortable handling incoming calls professionally and routing inquiries appropriately.
- Be able to work independently with minimal supervision and manage multiple responsibilities and deadlines.
- Have experience using EHR/EMR systems or similar healthcare administrative platforms.
- Be proficient with digital documentation, spreadsheets, and online communication tools, and willing to learn Integrity Checkpoint EHR.
- Understand HIPAA requirements and patient confidentiality.
- Have a reliable laptop or desktop, stable high-speed internet of at least 25 Mbps, a noise-canceling headset, a working webcam, and a quiet professional workspace.
- Be available Monday through Friday, 1:00 PM to 5:00 PM Eastern Time, for part-time work.
- Submit an NBI Clearance and/or Local Police Clearance before onboarding.
- Be available for video meetings with camera on when required.
Responsibilities
- Prepare, submit, track, and manage prior authorization requests for healthcare services.
- Coordinate with insurance providers on authorization requirements, submissions, and pending requests.
- Check supporting documentation for completeness and accuracy, and resolve discrepancies or missing requirements.
- Track authorization decisions, records, effective dates, and expiration dates; send reminders as needed.
- Answer incoming calls, screen irrelevant calls, route inquiries, and document messages.
- Maintain staff credential, certification, and training records and follow up on renewal requirements.
- Assist with patient insurance eligibility and benefits verification and medical billing-related administration.
- Make outbound calls and send outreach emails to community contacts as directed.
- Support appointment scheduling, recordkeeping, data entry, and general administrative coordination.
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