Remote Prior Authorization & Billing Specialist

Winning Assistants LLC; Philippines; Remote; PHP 439,000 - 526,000; Full time

Benefits offered by this job

Dedicated HR & Contractor Support Team

Premium VPN Access

HIPAA & Cybersecurity Training + CERT

Top VA Performance Training

Client-Approved U.S. Holidays

Client-Approved Paid/Unpaid Time Off

Access to Tools & Resources

Job summary

Winning Assistants LLC is seeking a Prior Authorization & Billing Specialist to join our remote healthcare support team. You will manage prior authorization requests, process referrals, and oversee end-to-end medical billing, claims, and insurance verification for U.S.

clients with HIPAA-compliant practices. Ideal candidates have 1+ year in medical administration, excellent English, and strong organizational skills.

Qualifications

• At least 1 year of experience in medical virtual assistance, healthcare administration, medical billing, prior authorization, or a similar healthcare-related role.
• Strong understanding of medical administrative workflows, with willingness to undergo training for practice-specific processes.
• Experience handling patient calls, triage, intake, and patient coordination.
• Knowledge of prescription refill workflows, insurance eligibility verification, and medical claims processes.
• Excellent English communication skills, both written and verbal.
• Strong organizational skills, attention to detail, and ability to manage multiple responsibilities efficiently.
• Ability to work independently in a remote healthcare environment while maintaining patient confidentiality.

Responsibilities

• Handle, process, track, and follow up on prior authorization requests to ensure timely approvals and continuity of patient care.
• Answer and triage incoming patient calls, gather relevant patient information, address general inquiries, and route concerns to the appropriate healthcare personnel.
• Process prescription refill requests, coordinate with healthcare providers for approval, and monitor pending requests to ensure timely follow-up.
• Manage end-to-end medical billing processes, including claims preparation, submission, routing, payment posting, claim status monitoring, and follow-ups on outstanding or denied claims.
• Verify patient insurance eligibility, benefits, and coverage manually when insurance information or package selections in Athena EHR require correction.
• Assist with overflow patient calls during high-volume periods while maintaining professional and empathetic communication.
• Maintain accurate patient records, insurance information, authorization statuses, and billing documentation in the practice's EHR system.
• Coordinate with healthcare providers, insurance representatives, pharmacies, and internal team members to resolve patient and administrative concerns.
• Ensure accuracy, confidentiality, and compliance with HIPAA regulations when handling patient information.

Skills

Excellent English communication

Strong organizational skills

Attention to detail

Ability to work independently

Tools

Athena EHR

Job description

Winning Assistants LLC is seeking a Prior Authorization & Billing Specialist to join our remote healthcare support team. You will manage prior authorization requests, process referrals, and oversee end-to-end medical billing, claims, and insurance verification for U.S.

clients with HIPAA-compliant practices. Ideal candidates have 1+ year in medical administration, excellent English, and strong organizational skills.