Remote Prior Authorization Specialist for Primary Care

GoLean Health; Pampanga; Remote; PHP 440.000 - 528.000; Vollzeit

Zusammenfassung

GoLean Health seeks an experienced Medical Virtual Assistant to support a busy U.S. medical practice from the Philippines.

You will specialize in medication prior authorizations, insurance coordination, and patient communication, using Athenahealth and CoverMyMeds to submit, track, and follow up on requests. The role requires independent management of time-sensitive authorizations, accurate documentation, HIPAA-compliant practices, and clear interactions with patients, pharmacies, and insurers.

Qualifikationen

• 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.

Aufgaben

• Medication Prior Authorization & Insurance Coordination: submit, track, and follow up using CoverMyMeds.
• Patient Communication & Care Coordination: manage calls, scheduling, referrals, and records requests.
• EHR Documentation & Case Management: maintain accurate records in Athenahealth and monitor approvals/denials.

Kenntnisse

English communication

Time management

Detail-oriented

Independent work

Tools

Athenahealth

CoverMyMeds

Jobbeschreibung

GoLean Health seeks an experienced Medical Virtual Assistant to support a busy U.S. medical practice from the Philippines.

You will specialize in medication prior authorizations, insurance coordination, and patient communication, using Athenahealth and CoverMyMeds to submit, track, and follow up on requests. The role requires independent management of time-sensitive authorizations, accurate documentation, HIPAA-compliant practices, and clear interactions with patients, pharmacies, and insurers.