Remote Medical VA: Prior Authorization & Patient Care

GoLean Health; Davao City; A distancia; PHP 440.000 - 527.000; Jornada completa

Descripción de la vacante

GoLean Health is seeking a Medical Virtual Assistant to support a busy U.S. medical practice from a remote location. You will handle medication prior authorizations, insurance coordination, and patient communications, using Athenahealth and CoverMyMeds.

The role requires independent, proactive, detail-oriented work, with strong English communication and the ability to manage time-sensitive requests and live patient calls across multiple channels.

Formación

• Hands-on Athenahealth (Athena) experience is mandatory.
• Hands-on CoverMyMeds experience is mandatory.
• Proven experience independently preparing, submitting, tracking, and following up on PA requests.
• Experience supporting a U.S. healthcare practice in medical administration, insurance coordination, or clinical support.
• Working knowledge of U.S. health insurance processes, pharmacy benefits, Medicare, Medicare Advantage, and HMO authorization requirements.
• Ability to interpret clinical notes, diagnoses, ICD-10 codes, medication histories, and insurance documentation requirements accurately.
• Experience handling inbound and outbound calls with U.S. patients, insurance representatives, pharmacies, and medical offices.
• Strong spoken and written English communication skills, with clear pronunciation and professional phone etiquette.
• Excellent organizational skills, attention to detail, and the ability to manage multiple time‑sensitive requests.
• Back up power and internet are needed.

Responsabilidades

• Manage medication prior authorization and insurance coordination using CoverMyMeds.
• Communicate with patients, pharmacies, insurers, and providers.
• Maintain Athenahealth records and track submissions and denials.
• Coordinate with clinical staff and ensure HIPAA compliance.
• Handle live patient calls during designated coverage periods.

Conocimientos

English communication

Time management

Attention to detail

Organization

Independent work

Herramientas

Athenahealth

CoverMyMeds

Availity

Descripción del empleo

GoLean Health is seeking a Medical Virtual Assistant to support a busy U.S. medical practice from a remote location. You will handle medication prior authorizations, insurance coordination, and patient communications, using Athenahealth and CoverMyMeds.

The role requires independent, proactive, detail-oriented work, with strong English communication and the ability to manage time-sensitive requests and live patient calls across multiple channels.