Remote Medical VA: Prior Authorization & Patient Support

Go Lean Health; Makati; A distancia; PHP 440.000 - 527.000; Jornada completa

Descripción de la vacante

Go Lean Health is seeking an experienced Medical Virtual Assistant to support a U.S. medical practice with prior authorization, insurance coordination, and patient communication.

The role emphasizes independent management of PA requests, insurance navigation, and precise EHR documentation in Athenahealth. The ideal candidate balances back-office tasks with live patient calls, thrives in a fast-paced setting, and demonstrates hands-on experience in U.S.

Formación

• Hands-on experience with Athenahealth (Athena) is mandatory.
• Hands-on experience with CoverMyMeds for prior authorization is mandatory.
• Experience independently preparing, submitting, tracking and following up on medication prior authorization requests.
• Experience supporting a U.S. healthcare practice in medical administration or insurance coordination.
• Knowledge of U.S. health insurance processes, Medicare, MedAdv, HMO authorizations.
• Ability to interpret clinical notes, ICD-10 codes, medication histories and insurance documentation requirements.

Responsabilidades

• Initiate, submit, track, and follow up on medication prior authorizations using CoverMyMeds.
• Process authorizations for GLP-1 and weight-management medications, ADHD medications, hormonal treatments, and other prescriptions requiring insurance approval.
• Review clinical documentation, diagnoses, ICD-10 codes, medication histories, and payer requirements to ensure accurate submissions.
• Navigate insurance portals, including Availity, to verify requirements and obtain authorization approvals.
• Monitor pending requests, coordinate missing documentation, and elevate denials or clinical questions to the appropriate provider.

Conocimientos

Athenahealth experience

CoverMyMeds experience

English communication

Herramientas

Athenahealth

CoverMyMeds

Availity

Descripción del empleo

Go Lean Health is seeking an experienced Medical Virtual Assistant to support a U.S. medical practice with prior authorization, insurance coordination, and patient communication.

The role emphasizes independent management of PA requests, insurance navigation, and precise EHR documentation in Athenahealth. The ideal candidate balances back-office tasks with live patient calls, thrives in a fast-paced setting, and demonstrates hands-on experience in U.S.