Remote Medical Prior Authorization & Patient Support

GoLean Health; Iloilo; Remote; PHP 440,000 - 528,000; Full time

Job summary

GoLean Health is seeking an experienced Medical Virtual Assistant to support a busy U.S. medical practice from a remote setup.

The role focuses on medication prior authorization, insurance coordination, and patient communication, using Athenahealth and CoverMyMeds daily. You will independently manage authorization requests, verify payer requirements, review clinical documentation, and maintain accurate records.

Qualifications

• Hands-on experience using Athenahealth (Athena) for patient records and submissions.
• Hands-on experience with CoverMyMeds for medication prior authorization.
• Experience independently preparing, submitting, and tracking medication prior authorizations.
• Experience supporting a U.S. healthcare practice in medical administration or insurance coordination.
• Knowledge of U.S. health insurance processes, Medicare and HMO authorizations.
• Ability to interpret clinical notes, ICD-10 codes, and insurance documentation.
• Excellent English communication and professional phone etiquette.
• Must have backup power and internet.

Responsibilities

• Handle medication prior authorization and insurance coordination end-to-end.
• Communicate with patients, pharmacies, and insurance reps.
• Manage Athenahealth records and authorization updates.
• Monitor submissions, follow-ups, and approvals; escalate as needed.
• Maintain HIPAA-compliant documentation and data accuracy.

Skills

Athenahealth

CoverMyMeds

Prior Authorization

English Proficiency

HIPAA Compliance

Case Management

Remote Communication

Tools

Athenahealth

CoverMyMeds

Availity

Job description

GoLean Health is seeking an experienced Medical Virtual Assistant to support a busy U.S. medical practice from a remote setup.

The role focuses on medication prior authorization, insurance coordination, and patient communication, using Athenahealth and CoverMyMeds daily. You will independently manage authorization requests, verify payer requirements, review clinical documentation, and maintain accurate records.