Medical VA – Prior Authorization Specialist

🔥 1 hour ago

🇵🇭 Philippines – Remote

💵 ₱590k - ₱600k / year

⏳ Contract/Temporary

🟢 Junior

✨ Prior Authorization Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Global Medical VA Careers

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2023

🏥 Healthcare

🤝 B2B

🎯 Recruiter

Healthcare • B2B • Recruitment

Global Medical VA Careers is the careers/branding presence of Global Medical Virtual Assistants (GMVA). It describes a company that recruits, trains, and places remote medical virtual professionals who support healthcare providers — offering roles such as medical virtual assistants, medical billers, medical scribes, case managers, virtual medical managers, and related client services. GMVA emphasizes paid training, guaranteed 40-hour workweeks, paid time off, remote work, competitive rates, and a mission to support clients, patients, and Filipino workers by producing skilled, ethical medical virtual professionals.

📋 Description

• Manage the end-to-end prior authorization process for healthcare practitioners. • Submit, track, and follow up on prior authorization requests. • Manage inbound and outbound calls with healthcare insurance companies to verify authorization requirements, check status updates, and resolve pending or denied requests. • Verify patient healthcare insurance coverage, benefits, and plan requirements before scheduling procedures or submitting authorizations. • Retrieve relevant medical history, clinical notes, and diagnostic reports. • Act as the primary point of contact between medical providers, patients, and payors. • Identify reasons for authorization denials, gather missing clinical information, and prepare basic appeal packages under healthcare provider direction. • Provide back-office support including data entry, email management, authorization tracking log maintenance, and record management. • Ensure timely approvals for procedures, medications, diagnostic testing, and specialist referrals. • Support patient care access, practice workflow, and revenue cycle efficiency.

🎯 Requirements

• Minimum of 6 months to 1 year of prior authorization or healthcare BPO experience handling US healthcare accounts. • Strong familiarity with insurance portals, EMR/EHR systems, and medical terminology. • HIPAA Certification is a plus • Excellent time management • Strong attention to detail • Computer savvy • Great work attitude and willingness to go the extra mile • Open to working night shifts • Primary computer: Intel Core i5-6000 (6th Gen or higher) or AMD Ryzen 5 or higher • Primary computer memory/RAM: 8.00 GB • Primary operating system: at least Windows 11 64-bit or macOS Ventura • USB headset with noise-cancelling feature • Camera capable of clear and crisp video output • Required backup system or UPS capable of supporting the workstation for at least 3 hours; typically 240Wh or higher • UPS must accept all plugs required for the primary device and work environment • Primary DSL/fiber internet connection with minimum 100mb/s contracted • Backup internet connection with minimum 20mb/s (cell) • Must adhere to HIPAA regulations and maintain confidentiality of patient data, insurance details, and communications

🏖️ Benefits

• Starting rate is $800 (USD) monthly • Free Training • Paid Time Offs • HMO Coverage • Optical Rewards • Performance-Based Increase • Permanent Work From Home