Remote Insurance & Credentialing Specialist (Back Office)

GoLean Health; Pasig; Remote; PHP 671,161,000 - 805,393,000; Full time

Job summary

GoLean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on administrative and insurance tasks to move patients through enrollment and care preparation, handling multiple payer types.

The position emphasizes backlog reduction, reliable back-office processes, and cross-training to cover related workflows. The work is remote, 30 hours per week, with US Central Time coordination.

Qualifications

• Experience with insurance verification and prior authorizations.
• Experience with US commercial insurance plans and Medicaid.
• Proficient use of EHR/practice-management systems and payer portals.
• Strong attention to detail and data-entry accuracy.
• Professional verbal and written English communication.

Responsibilities

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Review payer information and document results in AdvancedMD and clinic systems.
• Initiate and process prior authorizations per payer requirements.
• Identify missing information that blocks enrollment and follow up.
• Assist with patient intake, enrollment, and chart preparation.
• Support credentialing and payer enrollment as needed.
• Maintain accurate documentation of eligibility and pending items.

Skills

Insurance verification

Prior authorizations

EHR systems

HIPAA compliance

English communication

Multitasking

Tools

AdvancedMD

Payer portals

Microsoft Teams

Job description

GoLean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on administrative and insurance tasks to move patients through enrollment and care preparation, handling multiple payer types.

The position emphasizes backlog reduction, reliable back-office processes, and cross-training to cover related workflows. The work is remote, 30 hours per week, with US Central Time coordination.