Remote Insurance & Prior Auth Specialist (BH)

Go Lean Health; Cebu City; On-site; PHP 666,948,000 - 949,896,000; Part 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. The role focuses on enrollment preparation, insurance verification and authorizations, and back-office process improvement.

Responsibilities include verifying eligibility with commercial plans and Medicaid, initiating prior authorizations, handling enrollment intake, and coordinating with front-desk VMA to ensure timely scheduling, all while

Qualifications

• Experience in healthcare administration with insurance verification and prior authorizations.
• Familiarity with US commercial insurance plans and Medicaid.
• Strong documentation and data-entry skills.
• Knowledge of HIPAA and patient confidentiality requirements.

Responsibilities

• Verify patient eligibility and benefits with insurance plans.
• Initiate and track prior authorization requests.
• Assist with enrollment intake and documentation for scheduling.

Skills

Insurance verification

Prior authorizations

HIPAA compliance

EHR/AdvancedMD

English communication

Organization

Education

Healthcare administrative experience

Tools

AdvancedMD

Microsoft Teams

VPN/Remote tools

Job description

Go Lean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on enrollment preparation, insurance verification and authorizations, and back-office process improvement.

Responsibilities include verifying eligibility with commercial plans and Medicaid, initiating prior authorizations, handling enrollment intake, and coordinating with front-desk VMA to ensure timely scheduling, all while