Remote Insurance & Authorization Pro - Behavioral Health

Go Lean Health; Bonifacio; On-site; PHP 432,000 - 518,000; Full time

Job summary

Go Lean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. The role is remote, 30 hours per week, with US Central Time work hours.

The position focuses on administrative and insurance-related tasks to move patients through enrollment and prepare them for care, handling multiple payer arrangements including commercial plans, Medicaid, and nonprofit programs.

Qualifications

• Experience with insurance verification and prior authorization workflows.
• Experience with US commercial insurance plans and Medicaid.
• Ability to document verification results and follow up accurately.
• Strong administrative and data-entry skills; high attention to detail.

Responsibilities

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Review payer information and document results in AdvancedMD and clinic systems.
• Initiate and track prior authorization requests per payer and clinic requirements.
• Conduct outbound follow-up for missing forms or enrollment documents.

Skills

Insurance verification

Prior authorizations

Attention to detail

English communication

Remote work

Tools

AdvancedMD

Payer portals

EMR system

Microsoft Teams

Job description

Go Lean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. The role is remote, 30 hours per week, with US Central Time work hours.

The position focuses on administrative and insurance-related tasks to move patients through enrollment and prepare them for care, handling multiple payer arrangements including commercial plans, Medicaid, and nonprofit programs.