Remote Medical Admin: Prior Authorization & Patient Support

Go Lean Health; Pasig; Remote; PHP 440,000 - 527,000; Full time

Job summary

Go Lean Health is seeking a Medical Virtual Assistant to support a U.S. primary care practice from a remote setting. The role focuses on medication prior authorization, insurance coordination, and patient communication with a hands-on, independent approach.

The successful candidate will manage authorizations, verify insurance requirements, review clinical documentation, and maintain accurate Athenahealth records. Strong English communication and prior U.S. healthcare experience are essential.

Qualifications

• Strong English communication and professional phone etiquette.
• Ability to manage multiple time-sensitive requests independently.
• Experience supporting a U.S. healthcare practice in medical administration or clinical support.
• Working knowledge of U.S. health insurance processes, including Medicare and HMO authorizations.
• Experience using Athenahealth and CoverMyMeds for prior authorization workflows.

Responsibilities

• Initiate, submit, track, and follow up on medication prior authorizations using CoverMyMeds.
• Process authorizations for GLP-1 and weight-management medications, ADHD medications, hormonal treatments and other prescriptions.
• Review clinical documentation, ICD-10 codes, medication histories, and payer requirements for accurate submissions.
• Navigate Availity and other portals to verify requirements and obtain authorizations.
• Manage inbound patient calls and outbound communications with patients, pharmacies, and insurers.
• Maintain accurate records in Athenahealth and monitor submissions, approvals, denials, and expirations.

Skills

English communication

Independent work

Organizational skills

Time management

Tools

Athenahealth

CoverMyMeds

Availity

Job description

Go Lean Health is seeking a Medical Virtual Assistant to support a U.S. primary care practice from a remote setting. The role focuses on medication prior authorization, insurance coordination, and patient communication with a hands-on, independent approach.

The successful candidate will manage authorizations, verify insurance requirements, review clinical documentation, and maintain accurate Athenahealth records. Strong English communication and prior U.S. healthcare experience are essential.