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, and route prescription refill requests • Communicate refill outcomes to patients and pharmacies • Track and manage refill queues in Athena • Reconcile duplicate, closed, or pending refill items • Identify medications requiring prior authorization • Use CoverMyMeds for medication-related requests • Submit and track prior authorizations and follow up on approvals • Coordinate approvals, denials, and information requests with providers • Process appeals and document updates in Athena • Assist with claims processing and insurance follow-ups • Review claim status through payer portals or insurance channels • Follow up on denied, rejected, or pending claims • Document claim updates, payer responses, and next steps • Conduct outbound calls for reminders, updates, and follow-up needs • Relay provider instructions and clinic updates • Respond to patient inquiries and document concerns and follow-up requirements • Schedule or reschedule appointments • Upload and organize external clinical documents • Notify providers of urgent symptoms or patient requests • Request and track lab results • Maintain inbox and outbox documentation • Close completed tasks and route work to clinical, billing, or provider teams • Report system access issues and workflow delays

🎯 Requirements

• At least 1 year of experience as a Medical Virtual Assistant, Clinical Support VA, Medical Assistant, or similar role • Hands-on Athena expertise is required, including 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 • Comfortable communicating with patients, pharmacies, providers, and insurance representatives • Charting or clinical documentation experience • CoverMyMeds experience strongly preferred • Google Voice experience 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 • Ability to maintain HIPAA-compliant communication