Remote Prior Authorization & Patient Care Specialist

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

Job summary

GoLean Health is seeking an experienced Medical Virtual Assistant to support a busy U.S. practice remotely. The role focuses on medication prior authorization, insurance coordination, and patient communication.

You will independently manage authorization requests, review clinical notes, and maintain accurate records in Athenahealth, while delivering timely, professional service to patients and insurers.

Qualifications

• Hands-on experience with Athenahealth and CoverMyMeds for prior authorization.
• Experience supporting a U.S. healthcare practice in medical admin or clinical support.
• Strong English communication and attention to detail with HIPAA awareness.

Responsibilities

• Manage prior authorization requests and track submissions in CoverMyMeds.
• Coordinate insurance requirements and review clinical documentation for accuracy.
• Communicate with patients, insurers, and healthcare providers to resolve issues.
• Maintain accurate Athenahealth records and follow up on cases within timeframes.
• Ensure HIPAA compliance and timely case resolution.

Skills

English communication

Time management

Independent work

Tools

Athenahealth

CoverMyMeds

Availity

Job description

GoLean Health is seeking an experienced Medical Virtual Assistant to support a busy U.S. practice remotely. The role focuses on medication prior authorization, insurance coordination, and patient communication.

You will independently manage authorization requests, review clinical notes, and maintain accurate records in Athenahealth, while delivering timely, professional service to patients and insurers.