Remote Prior Authorization & Patient Care Specialist

GoLean Health; Davao 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. medical practice remotely.

The role focuses on medication prior authorization, insurance coordination, and patient communication using Athenahealth. You will independently manage authorization requests, verify payer requirements, review clinical documentation, and maintain accurate records while handling live patient calls.

Qualifications

• Hands-on experience with Athenahealth (Athena) required.
• Experience using CoverMyMeds for prior authorization.
• Experience supporting a U.S. healthcare practice.
• Understanding of U.S. health insurance processes.
• Ability to handle inbound/outbound calls with U.S. patients.
• Excellent English communication and professional etiquette.
• Backup power and internet are needed.

Responsibilities

• Medication prior authorizations: initiate, submit, track, and follow up.
• Patient communication and care coordination.
• EHR documentation in Athenahealth.
• Case management and administrative support.
• Maintain HIPAA-compliant records and timely follow-ups.

Skills

English communication

Organization

Time management

Attention to detail

Independence

Tools

Athenahealth (Athena)

CoverMyMeds

Availity

Job description

GoLean Health is seeking an experienced Medical Virtual Assistant to support a busy U.S. medical practice remotely.

The role focuses on medication prior authorization, insurance coordination, and patient communication using Athenahealth. You will independently manage authorization requests, verify payer requirements, review clinical documentation, and maintain accurate records while handling live patient calls.