Remote Insurance & Prior Authorization Specialist

GoLean Health; Cebu City; On-site; PHP 518,000 - 691,000; Part 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 tasks, insurance verification, and obtaining authorizations to move patients through enrollment and care.

You will handle eligibility checks, patient intake, credentialing support, and chart preparation while maintaining HIPAA compliance and accurate documentation.

Qualifications

• Experience with US commercial insurance plans and Medicaid.
• Ability to verify eligibility and obtain prior authorizations.
• Experience using an EHR or practice-management system.
• Strong administrative documentation and data-entry skills.
• Excellent English communication and attention to detail.

Responsibilities

• Verify patient eligibility and benefits with commercial insurance plans and Medicaid.
• Initiate and process prior authorization requests according to payer requirements.
• Review intake documentation and ensure completeness for enrollment.
• Prepare patient charts and ensure required documents are complete.
• Assist with provider credentialing and payer enrollment.

Skills

Insurance verification

Prior authorizations

US payer knowledge

EHR systems

Data entry

Attention to detail

English communication

Independent work

Tools

AdvancedMD

Microsoft Teams

Payer portals

Practice-management system

Remote work tools

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 tasks, insurance verification, and obtaining authorizations to move patients through enrollment and care.

You will handle eligibility checks, patient intake, credentialing support, and chart preparation while maintaining HIPAA compliance and accurate documentation.