Remote Insurance & Prior Authorization Specialist

Go Lean Health; Ilocos Norte; Remote; PHP 435,000 - 522,000; Full time

Job summary

Go Lean Health seeks a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on insurance verification, prior authorizations, and enrollment processing, with 30 hours/week remote from the Philippines.

You’ll manage documentation, communicate with payers, and help move patients through enrollment and scheduling. Strong organizational skills, understanding of HIPAA, and experience with EHRs are essential.

Qualifications

• Experience with US commercial insurance plans and Medicaid.
• Strong understanding of HIPAA and patient confidentiality.
• Experience using an EHR or practice-management system.

Responsibilities

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Initiate and process prior authorization requests.
• Review enrollment documents and coordinate with front-desk VMA.
• Track authorizations and follow up to resolution.
• Support patient intake and enrollment processes.
• Assist with credentialing and payer enrollment as needed.
• Maintain accurate documentation in clinic systems.

Skills

Healthcare administration

English communication

Attention to detail

Tools

AdvancedMD

Payer portals

EHR systems

Job description

Go Lean Health seeks a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on insurance verification, prior authorizations, and enrollment processing, with 30 hours/week remote from the Philippines.

You’ll manage documentation, communicate with payers, and help move patients through enrollment and scheduling. Strong organizational skills, understanding of HIPAA, and experience with EHRs are essential.