Remote Medical VA: Prior Authorization & Patient Care

Go Lean Health; Taguig; Remote; PHP 440,000 - 527,000; Full time

Benefits offered by this job

Remote work

Job summary

Go Lean Health is seeking an experienced Medical Virtual Assistant to support a busy U.S. medical practice from a remote setting.

The role emphasizes medication prior authorization, insurance coordination, and patient communication, requiring hands-on expertise with Athenahealth and CoverMyMeds. You will independently manage authorization requests, verify insurance requirements, review clinical documentation, and maintain accurate records while handling live patient calls and secure

Qualifications

• Hands-on experience using Athenahealth is mandatory.
• Hands-on experience using CoverMyMeds for medication prior authorization is mandatory.
• Experience submitting, tracking, and following up on medication prior authorization requests.

Responsibilities

• Initiate, submit, track, and follow up on medication prior authorizations using CoverMyMeds.
• Process authorizations for GLP-1, weight-management, ADHD, hormonal and other prescriptions requiring insurance approval.
• Review clinical documentation, ICD-10 codes, medication histories, and payer requirements to ensure accurate submissions.
• Navigate insurance portals (Availity) and manage denials or questions with providers.
• Maintain accurate patient records and ensure HIPAA compliance.

Skills

Athenahealth

CoverMyMeds

English communication

Time management

Tools

Availity

Job description

Go Lean Health is seeking an experienced Medical Virtual Assistant to support a busy U.S. medical practice from a remote setting.

The role emphasizes medication prior authorization, insurance coordination, and patient communication, requiring hands-on expertise with Athenahealth and CoverMyMeds. You will independently manage authorization requests, verify insurance requirements, review clinical documentation, and maintain accurate records while handling live patient calls and secure