Remote Medical Billing & Prior Authorization Specialist

Winning Assistants, Inc.; United States; Remote; USD 6,900 - 8,300; Full time

Benefits offered by this job

HR & Contractor Support

VPN Access

HIPAA Training

VA Performance Training

US Holidays Off

Paid Time Off

Productivity Tools

Performance Incentives

Job summary

Winning Assistants, Inc. is seeking a Prior Authorization & Billing Specialist for a full-time, remote role. You will handle prior authorization requests, billing tasks, and patient communications to ensure timely approvals and accurate claims.

Requirements include 1+ year in medical virtual assistance or billing, strong English communication, and experience with medical workflows and Athena EHR. The company provides contractor support, HIPAA training, VPN access, and optional performance

Qualifications

• At least 1 year of experience in medical virtual assistance, healthcare administration, medical billing, prior authorization, or a similar role.
• Strong English communication, both written and verbal, with professional phone etiquette.
• Experience handling patient calls, triage, intake, and coordination in a remote setting.
• Knowledge of prescription refill workflows, insurance eligibility verification, and medical claims processes.

Responsibilities

• Handle, process, track, and follow up on prior authorization requests to ensure timely approvals and continuity of patient care.
• Answer and triage incoming patient calls, gather relevant patient information, address general inquiries, and route concerns to the appropriate personnel.
• Process prescription refill requests, coordinate with healthcare providers for approval, and monitor pending requests to ensure timely follow-up.
• Manage end-to-end medical billing processes, including claims preparation, submission, routing, payment posting, claim status monitoring, and follow-ups on outstanding or denied claims.
• Verify patient insurance eligibility, benefits, and coverage manually when insurance information or package selections in Athena EHR require correction.
• Assist with overflow patient calls during high-volume periods while maintaining professional and empathetic communication.
• Maintain accurate patient records, insurance information, authorization statuses, and billing documentation in the practice’s EHR system.
• Coordinate with healthcare providers, insurance representatives, pharmacies, and internal team members to resolve patient and administrative concerns.
• Ensure accuracy, confidentiality, and compliance with HIPAA regulations when handling patient information.

Skills

English communication

Organizational skills

Attention to detail

Independent work

Medical billing knowledge

Prior authorization

Tools

Athena EHR

Job description

Winning Assistants, Inc. is seeking a Prior Authorization & Billing Specialist for a full-time, remote role. You will handle prior authorization requests, billing tasks, and patient communications to ensure timely approvals and accurate claims.

Requirements include 1+ year in medical virtual assistance or billing, strong English communication, and experience with medical workflows and Athena EHR. The company provides contractor support, HIPAA training, VPN access, and optional performance