Remote Prior Authorization & Patient Care Specialist

GoLean Health; Manila; 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.

The role emphasizes independent management of authorization requests, accurate documentation in Athenahealth, and proactive patient engagement from a remote location. The ideal candidate has hands-on experience with Athenahealth and CoverMyMeds, strong organizational skills, and the ability to manage time-sensitive tasks

Qualifications

• Hands-on experience using Athenahealth (Athena) is mandatory.
• Hands-on experience using CoverMyMeds for medication prior authorization is mandatory.
• Experience supporting a U.S. healthcare practice in medical administration or clinical support.
• Ability to interpret clinical notes, ICD-10 codes, and payer requirements.

Responsibilities

• Initiate and track medication prior authorizations using CoverMyMeds.
• Review diagnoses, ICD-10 codes, and payer requirements for submissions.
• Communicate with patients and insurers; coordinate care and records.
• Manage Athenahealth records and monitor authorization status.
• Escalate clinical concerns to the appropriate healthcare professional.

Skills

Clear communication

Independent worker

Detail-oriented

Time management

Tools

Athenahealth

CoverMyMeds

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.

The role emphasizes independent management of authorization requests, accurate documentation in Athenahealth, and proactive patient engagement from a remote location. The ideal candidate has hands-on experience with Athenahealth and CoverMyMeds, strong organizational skills, and the ability to manage time-sensitive tasks