Remote Insurance & Credentialing Specialist - Part-Time

GoLean Health; Cebu City; On-site; PHP 671,580,000 - 805,896,000; Part time

Job summary

GoLean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a U.S. nonprofit behavioral health organization. The role focuses on insurance verification, prior authorizations, enrollment support, and backlog clearance from a remote setting.

You will work 30 hours per week, primarily during 11:00 AM–7:00 PM Central Time, handling outreach, documentation, and case management to move patients through enrollment and schedule readiness.

Qualifications

• Experience with US commercial insurance plans, Medicaid, or both.
• Strong understanding of healthcare eligibility and authorization workflows.
• Experience with insurance verification and prior authorizations.

Responsibilities

• Verify patient eligibility and benefits with commercial insurance plans and Medicaid.
• Initiate and process prior authorization requests according to payer and clinic requirements.
• Review intake documentation, eligibility, and enrollment requirements; track progress and follow up.

Skills

Insurance verification

Prior authorizations

EHR systems

Data entry accuracy

Attention to detail

Communication (English)

Follow-up and case management

Organization

Tools

AdvancedMD

Microsoft Teams

Time Doctor

Payer portals

Job description

GoLean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a U.S. nonprofit behavioral health organization. The role focuses on insurance verification, prior authorizations, enrollment support, and backlog clearance from a remote setting.

You will work 30 hours per week, primarily during 11:00 AM–7:00 PM Central Time, handling outreach, documentation, and case management to move patients through enrollment and schedule readiness.