Medical Virtual Assistant, Outbound Calls, Prior Authorization

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GoLean Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏥 Healthcare

💼 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

• Process, validate, route, and track prescription refill requests in Athena • Communicate refill outcomes to patients and pharmacies • Identify and manage medication prior authorizations using CoverMyMeds • Submit, track, and appeal prior authorizations for chronic-care and weight-management medications • Coordinate authorization approvals, denials, and information requests with providers • Assist with claims processing and insurance follow-ups • Review and follow up on denied, rejected, or pending claims through payer portals and insurance channels • Conduct outbound calls for appointment reminders, updates, and follow-up needs • Relay provider instructions and clinic updates to patients • Respond to patient inquiries and document acknowledgments, concerns, and follow-up requirements • Schedule or reschedule appointments • Upload and organize external clinical documents, including discharge summaries, imaging results, clinical notes, and lab-related documents • Notify providers of urgent symptoms or patient requests • Request and track external lab results • Maintain accurate inbox and outbox documentation and route tasks to appropriate teams • Report system access issues or workflow delays and keep documentation current

🎯 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 experience navigating Athena task queues, documentation, charting, patient records, and clinical workflows • 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 • Charting or clinical documentation experience is required • Comfortable communicating with patients, pharmacies, providers, and insurance representatives • CoverMyMeds experience is strongly preferred • Google Voice experience is preferred • Experience using payer portals or insurance verification tools is a plus • Family Medicine or Primary Care experience is nice to have • Experience with chronic-care or weight-management medication authorizations is nice to have • Experience following up on denied or pending claims is nice to have • Experience requesting records, lab results, imaging results, or discharge summaries is nice to have • Must maintain HIPAA-compliant communication