Remote Medical VA: Prior Authorization & Billing

Winning Assistants LLC.; Philippines; On-site; PHP 424,000 - 509,000; Full time

Benefits offered by this job

HIPAA & cybersecurity training +certs

VPN access (optional)

Job summary

Winning Assistants LLC. seeks a Medical Virtual Assistant to support prior authorization and billing tasks for a U.S.-based mobile primary and palliative care practice.

This full-time, remote role follows a Monday–Friday 8:00 AM–5:00 PM MDT schedule with breaks; pay is 5–6 USD per hour. You will manage prior authorizations in Athena EHR, assist with billing and claims, review denials, and handle faxes and orders.

Qualifications

• Hands-on experience with Athena EHR/athenahealth.
• Experience in primary care.
• Experience handling prior authorizations.
• Experience with medical billing, claims processing, denied claims, or claims resolution.
• Healthcare administrative or Medical Virtual Assistant experience.
• Strong spoken and written English communication skills.
• Clear and patient phone communication.
• Strong attention to detail and follow-through.
• Ability to organize multiple tasks and work with a healthcare team.

Responsibilities

• Manage prior authorization requests from submission through follow-up and resolution.
• Track pending authorizations and follow up on approvals and denials.
• Assist with medical billing and claims-related tasks.
• Review denied claims and investigate issues such as missing authorizations, incorrect patient information, and other discrepancies.
• Help resolve outstanding claim holds and ensure issues are corrected before submission or resubmission.
• Keep documentation accurate and up to date in Athena EHR.
• Manage incoming and outgoing faxes through Athena.
• Monitor and process orders and other assigned healthcare administrative tasks.
• Provide overflow phone support and assist with patient inquiries.
• Help with scheduling requests and route patients to the appropriate team member.
• Receive non-controlled medication refill requests and coordinate them with the appropriate clinical team.
• Work closely with onsite medical assistants and other team members to ensure patient needs are addressed.
• Use Spruce for patient phone communication and coordination.

Skills

Prior authorizations

Medical billing

Healthcare administration

English communication

Customer service

Tools

Athena EHR

Spruce Health

Job description

Winning Assistants LLC. seeks a Medical Virtual Assistant to support prior authorization and billing tasks for a U.S.-based mobile primary and palliative care practice.

This full-time, remote role follows a Monday–Friday 8:00 AM–5:00 PM MDT schedule with breaks; pay is 5–6 USD per hour. You will manage prior authorizations in Athena EHR, assist with billing and claims, review denials, and handle faxes and orders.