Medical Virtual Assistant, Outbound Calls, Prior Authorization, Claims Support

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GoLean Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

⚕️ Healthcare Insurance

👥 HR Tech

☁️ SaaS

Healthcare Insurance • HR Tech • SaaS

GoLean Health is a company that specializes in providing remote medical assistants and virtual receptionists to healthcare practices. They focus on helping doctors, dentists, veterinarians, chiropractors, and optometrists by connecting them with reliable virtual staff who are HIPAA-trained and skilled in various administrative tasks. By hiring virtual assistants from GoLean, healthcare providers can streamline their operations, improve patient communication, and scale their practices at a reduced cost.

📋 Description

• Medication & Refill Management: Process, validate, and route prescription refill requests, communicate refill outcomes, track and manage refill queues in Athena, reconcile refill items, and maintain CoverMyMeds. • Prior Authorization & Appeals: Submit and track prior authorizations, follow up on pending authorizations, coordinate with providers, and document updates in Athena. • Claims Processing & Insurance Follow-Up: Assist with claims processing, review claim statuses, document updates and concerns, and support team organization. • Patient Communication: Conduct outbound calls, respond to inquiries, document concerns, and schedule appointments. • Clinical Coordination: Upload and organize clinical documents, notify providers of urgent symptoms, and request lab results. • Administrative Support: Maintain documentation, report system issues, and organize tasks efficiently.

🎯 Requirements

• At least 1 year of experience as a Medical Virtual Assistant, Clinical Support VA, Medical Assistant, or similar role • Proven hands-on experience with Athena is required • Strong outbound calling skills and professional communication • Prior authorization experience • Claims processing or insurance follow-up experience • Strong documentation accuracy and task management skills • Ability to work independently in a fast-paced clinic environment • Familiarity with CoverMyMeds • Comfortable communicating with patients, pharmacies, providers, and insurance representatives