Remote Medical VA: Prior Authorization & Patient Support

GoLean Health; Taguig; Remote; PHP 440,000 - 528,000; Full time

Job summary

GoLean Health is seeking an experienced Medical Virtual Assistant to handle prior authorization, insurance coordination, and patient communication for a U.S. medical practice.

This remote role requires mastery of Athenahealth and CoverMyMeds, and the ability to manage time-sensitive requests with minimal supervision. You will review clinical documentation, verify payer requirements, and communicate with patients, insurers, and providers, while maintaining HIPAA-compliant records and delivering

Qualifications

• Hands-on experience using Athenahealth (Athena) is mandatory.
• Hands-on experience using CoverMyMeds for medication prior authorization is mandatory.
• Proven experience independently preparing, submitting, tracking, and following up on medication prior authorization requests.
• Previous 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.
• Demonstrated ability to work independently, maintain accurate documentation, and follow through on unresolved cases.
• Back up power and internet are needed.

Responsibilities

• Maintain accurate and timely patient records, authorization updates, and follow-up documentation using Athenahealth (Athena).
• Track authorization submissions, approvals, denials, expiration dates, and pending actions.
• Request and process medical records from primary care providers, specialists, laboratories, imaging centers, and other authorized parties.
• Take ownership of assigned cases, working toward resolution within 72 hours whenever possible.
• Coordinate with clinical staff to resolve outstanding requests, prioritize urgent tasks, and maintain continuity of patient care.
• Ensure all activities comply with HIPAA requirements and established practice procedures.

Job description

GoLean Health is seeking an experienced Medical Virtual Assistant to handle prior authorization, insurance coordination, and patient communication for a U.S. medical practice.

This remote role requires mastery of Athenahealth and CoverMyMeds, and the ability to manage time-sensitive requests with minimal supervision. You will review clinical documentation, verify payer requirements, and communicate with patients, insurers, and providers, while maintaining HIPAA-compliant records and delivering