Remote Insurance & Prior Authorization Specialist

Go Lean Health; Cavite City; On-site; PHP 432,000 - 518,000; 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. This remote role focuses on insurance verification, prior authorizations, enrollment steps, and back-office processes to move patients toward care.

The position requires strong organizational skills, experience with payer portals and EHRs such as AdvancedMD, and the ability to manage multiple cases with HIPAA compliance.

Qualifications

• Experience with insurance verification and prior authorizations.
• Experience with US commercial insurance plans and Medicaid.
• Ability to navigate payer portals and verify coverage.
• Strong documentation and data-entry skills.
• Familiarity with HIPAA and patient confidentiality requirements.

Responsibilities

• Verify patient eligibility and benefits with commercial insurance plans and Medicaid.
• Review payer information and document verification results in AdvancedMD and clinic systems.
• Identify missing information or requirements to prevent enrollment delays.

Skills

Insurance verification

Prior authorizations

US payer knowledge

Medicaid knowledge

EHR proficiency

Data entry

HIPAA compliance

English communication

Tools

AdvancedMD

Microsoft Teams

VPN

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 remote role focuses on insurance verification, prior authorizations, enrollment steps, and back-office processes to move patients toward care.

The position requires strong organizational skills, experience with payer portals and EHRs such as AdvancedMD, and the ability to manage multiple cases with HIPAA compliance.