Remote Medical Prior Authorization Specialist

Global Medical Virtual Assistants; Quezon City; Remote; PHP 562,000 - 702,000; Full time

Benefits offered by this job

Free Training

Paid Time Offs

HMO Coverage

Optical Rewards

Performance-Based Increase

Permanent Work From Home

Job summary

Global Medical Virtual Assistants is seeking a Medical Virtual Assistant – Prior Authorization Specialist to manage end-to-end prior authorizations for healthcare providers. You will liaise between providers, insurance payors, and patients to secure timely approvals, supporting patient access and revenue cycle efficiency.

Role requires 6 months to 1 year of US healthcare BPO experience, HIPAA awareness, strong time management, and attention to detail.

Qualifications

• Minimum of 6 months to 1 year of prior authorization or healthcare BPO experience handling US healthcare accounts.
• Familiarity with insurance portals, EMR/EHR systems, and medical terminology.
• HIPAA certification is a plus
• Excellent time management
• Strong attention to detail
• Computer savvy
• Willing to work night shifts

Responsibilities

• Submit, track, and follow up on prior authorization requests.
• Interface with insurance companies to verify requirements and status.
• Verify patient coverage, benefits, and plan specifics before scheduling.
• Retrieve medical history, notes, and diagnostic reports.
• Serve as primary contact between providers, patients, and payors.
• Identify denial reasons, gather missing data, and prepare basic appeals.
• Provide back-office support including data entry and record management.
• Strictly follow HIPAA and keep patient data confidential.

Skills

Time management

Attention to detail

Computer skills

Night shift availability

HIPAA knowledge

Job description

Global Medical Virtual Assistants is seeking a Medical Virtual Assistant – Prior Authorization Specialist to manage end-to-end prior authorizations for healthcare providers. You will liaise between providers, insurance payors, and patients to secure timely approvals, supporting patient access and revenue cycle efficiency.

Role requires 6 months to 1 year of US healthcare BPO experience, HIPAA awareness, strong time management, and attention to detail.