Remote Insurance & Prior Authorization Specialist

GoLean Health; Hyderabad City Taluka; On-site; PKR 2,983,971,000 - 3,580,765,000; Part time

Benefits offered by this job

Remote work

Job summary

GoLean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. The role focuses on administrative and insurance work to move patients through enrollment and prepare them for care.

The position requires strong organizational skills, experience with insurance verification and authorizations, and the ability to manage backlog cases while ensuring HIPAA compliance and accurate documentation

Qualifications

• Experience with US commercial insurance plans and Medicaid.
• Experience contacting insurance companies and using payer portals.
• Strong understanding of healthcare eligibility and authorization workflows.
• Experience with an EHR or practice-management system.

Responsibilities

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Initiate and process prior authorization requests per payer and clinic requirements.
• Follow up on pending authorizations and resolve status with insurers.
• Update patient demographics, insurance information, and authorization details in AdvancedMD.
• Review backlog cases, identify blockers, and coordinate next actions.
• Assist with provider credentialing and payer enrollment tasks.
• Coordinate with bilingual front-desk VMA to ensure smooth patient flow across inquiry, enrollment, insurance processing and scheduling.
• Document and improve SOPs for verification, approvals, and enrollment processes.

Skills

Insurance verification

Prior authorizations

HIPAA compliance

Data entry accuracy

English communication

Independent work

Case management

Tools

AdvancedMD

Microsoft Teams

Payer portals

Time Doctor

EHR systems

Job description

GoLean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. The role focuses on administrative and insurance work to move patients through enrollment and prepare them for care.

The position requires strong organizational skills, experience with insurance verification and authorizations, and the ability to manage backlog cases while ensuring HIPAA compliance and accurate documentation