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

🕒 July 21

đŸ‡”đŸ‡­ Philippines – Remote

đŸ’” $6 / hour

⏱ Part Time

🟱 Junior

đŸ‘šâ€đŸ’Œ Executive Assistant

đŸ‘» Ghost score 20%

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Logo of GoLean Health

GoLean Health

1 - 10 employees

đŸ„ Healthcare

đŸ’Œ Consulting

📩 Logistics

Healthcare ‱ Consulting ‱ Logistics

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 to patients and pharmacies; track and manage refill queues in Athena. ‱ Prior Authorization & Appeals: Submit and track prior authorizations for chronic care and weight-management medications; follow up on pending authorizations; process appeals when needed. ‱ Claims Processing & Insurance Follow-Up: Assist with basic claims processing; review claim status; follow up on denied or pending claims; document claim updates accurately. ‱ Patient Communication: Conduct outbound calls for appointment reminders; relay provider instructions and clinic updates; respond to patient inquiries; document patient acknowledgments and follow-up requirements. ‱ Clinical Coordination: Upload and organize documents from external facilities; manage discharge summaries and lab-related documents; ensure clinical information is routed promptly. ‱ Administrative Support: Maintain accurate inbox and outbox documentation; route tasks to the appropriate team; keep documentation clean and updated.

🎯 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

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