Remote Insurance & Prior Authorization Specialist

GoLean Health; Davao City; On-site; PHP 673,685,000 - 808,422,000; Part time

Job summary

GoLean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support enrollment and care readiness for behavioral health patients. This 30-hour-per-week remote role focuses on administrative tasks, insurance verification, authorizations, and data entry.

You will build reliable back-office processes, handle eligibility, use AdvancedMD, coordinate with bilingual front-desk VMA, and ensure documentation is complete before scheduling.

Qualifications

• Experience with insurance verification and prior authorizations.
• Familiar with US commercial insurance and Medicaid workflows.
• Proficient in documenting in payer portals and EHRs.
• Ability to work remotely with strong self-management.

Responsibilities

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Initiate and track prior authorization requests per payer rules.
• Assess and document potential eligibility for nonprofit assistance.
• Conduct outbound follow-up for missing forms and data.
• Support patient intake, enrollment, and chart preparation.
• Assist with provider credentialing and payer enrollment tasks.
• Update patient records in AdvancedMD and related systems.
• Identify bottlenecks and help develop back-office SOPs.

Skills

English communication

Organization & follow-up

Independent work

Attention to detail

Tools

AdvancedMD

Microsoft Teams

Payer portals

EHR systems

Job description

GoLean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support enrollment and care readiness for behavioral health patients. This 30-hour-per-week remote role focuses on administrative tasks, insurance verification, authorizations, and data entry.

You will build reliable back-office processes, handle eligibility, use AdvancedMD, coordinate with bilingual front-desk VMA, and ensure documentation is complete before scheduling.