Remote Behavioral Health Insurance & Enrollment Specialist

Go Lean Health; Mandaluyong; Remote; PHP 431,000 - 517,000; Full time

Job summary

Go Lean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. This role focuses on administrative and insurance work to move patients through enrollment and prepare for care.

The position requires handling multiple payer arrangements, documenting verification results, initiating authorizations, and assisting with enrollment while building reliable back-office processes for growth.

Qualifications

• Previous healthcare experience with insurance verification and prior authorizations.
• Experience with US commercial insurance plans and Medicaid.

Responsibilities

• Verify patient eligibility and benefits with commercial insurance plans and Medicaid.
• Review payer information and document verification results in clinic systems.
• Initiate and process prior authorization requests and track status.
• Perform financial eligibility checks for nonprofit programs and outreach.
• Assist with patient intake, enrollment, and chart preparation.
• Support provider credentialing and payer enrollment as needed.
• Update patient records in AdvancedMD and ensure data accuracy.
• Review backlog and manage cases with clear next steps.
• Collaborate with bilingual staff to ensure smooth patient transitions.
• Help document SOPs and improve back-office processes.

Skills

Insurance verification

Prior authorizations

US healthcare experience

English communication

EHR proficiency

Data entry

HIPAA compliance

Attention to detail

Multitasking

Tools

AdvancedMD

Microsoft Teams

Time Doctor

Job description

Go Lean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. This role focuses on administrative and insurance work to move patients through enrollment and prepare for care.

The position requires handling multiple payer arrangements, documenting verification results, initiating authorizations, and assisting with enrollment while building reliable back-office processes for growth.