Remote Medical VA: Prior Authorization & Insurance Support

Go Lean Health; Cebu City; 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 location.

You will specialize in medication prior authorization, insurance coordination, and patient communication, handling submissions in Athenahealth and CoverMyMeds with care and accuracy.

Ideal candidates are highly organized, proactive, and capable of managing time-sensitive requests while maintaining HIPAA compliance and clear English communication.

Qualifications

• Hands-on experience with Athenahealth (Athena) required.
• Hands-on experience with CoverMyMeds for medication prior authorization required.
• Proven ability to independently prepare, submit, track, and follow up on prior authorization requests.
• Experience supporting a U.S. healthcare practice in medical administration, insurance coordination, or clinical support.
• Knowledge of U.S. health insurance processes, including Medicare, HMO, and payer requirements.
• Ability to interpret clinical notes, ICD-10 codes, and insurance documentation.
• Experience handling calls with U.S. patients, insurance reps, pharmacies, and medical offices.

Responsibilities

• Initiate and manage medication prior authorizations using CoverMyMeds.
• Process authorizations for GLP-1, weight-management, ADHD, hormones, and related meds.
• Review documentation to ensure accurate submissions per payer requirements.
• Navigate Availity and other portals to verify approvals and requirements.
• Monitor submissions, address missing docs, and escalate denials as needed.
• Maintain HIPAA-compliant patient records and documentation in Athenahealth.

Skills

English communication

Multitasking

Independent work

Phone communication

Organizational skills

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 location.

You will specialize in medication prior authorization, insurance coordination, and patient communication, handling submissions in Athenahealth and CoverMyMeds with care and accuracy.

Ideal candidates are highly organized, proactive, and capable of managing time-sensitive requests while maintaining HIPAA compliance and clear English communication.