Remote Insurance & Prior Authorization Specialist

GoLean Health; Islamabad; On-site; PKR 1,912,000 - 2,294,000; Part time

Job summary

GoLean Health seeks a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on administration, insurance verification, and enrollment readiness in a remote setting.

You will move patients through enrollment by verifying eligibility, processing authorizations, and maintaining accurate documentation across AdvancedMD and related systems. Strong organizational skills and HIPAA compliance are essential.

Qualifications

• Experience with insurance verification and prior authorizations in healthcare.
• Familiarity with US commercial plans and Medicaid workflows.
• Ability to navigate payer portals and document results accurately.
• Strong documentation and data-entry accuracy with HIPAA compliance.
• Proven ability to manage multiple cases and deadlines independently.

Responsibilities

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Review payer information and document results in clinic systems.
• Initiate and track prior authorization requests per requirements.
• Identify missing information that blocks enrollment and follow up.
• Prepare patient charts and ensure complete enrollment documentation.

Skills

Insurance verification

Prior authorizations

EHR systems proficiency

HIPAA compliance

Attention to detail

English communication

Time management

Remote work discipline

Tools

AdvancedMD

Microsoft Teams

Time Doctor

Payer portals

VPN access

Job description

GoLean Health seeks a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on administration, insurance verification, and enrollment readiness in a remote setting.

You will move patients through enrollment by verifying eligibility, processing authorizations, and maintaining accurate documentation across AdvancedMD and related systems. Strong organizational skills and HIPAA compliance are essential.