MyVA Support (MYVAS)
11 - 50 employees
🤝 B2B
👥 HR Tech
☁️ SaaS
B2B • HR Tech • SaaS
MyVA Support (MYVAS) is a company that specializes in connecting businesses with virtual professionals from around the globe. They offer a range of services that include hiring, onboarding, training, and managing payroll for virtual assistants across various fields such as administrative support, digital marketing, and medical assistance. MYVAS aims to streamline the outsourcing process, helping businesses save time and resources by providing skilled and compliant virtual staff tailored to their specific needs.
Pre-Authorization & Referral Coordinator
Job not on LinkedIn
🕒 February 13
🗣️🇪🇸 Spanish Required
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MyVA Support (MYVAS)
11 - 50 employees
🤝 B2B
👥 HR Tech
☁️ SaaS
B2B • HR Tech • SaaS
MyVA Support (MYVAS) is a company that specializes in connecting businesses with virtual professionals from around the globe. They offer a range of services that include hiring, onboarding, training, and managing payroll for virtual assistants across various fields such as administrative support, digital marketing, and medical assistance. MYVAS aims to streamline the outsourcing process, helping businesses save time and resources by providing skilled and compliant virtual staff tailored to their specific needs.
📋 Description
• Verify active insurance coverage and review detailed benefits • Determine patient financial responsibility (copays, deductibles, coinsurance, out-of-pocket maximums) • Obtain and manage prior authorizations for procedures, imaging, and specialty services • Submit and track authorization requests through payer portals (Availity, UHC, Aetna, Cigna, etc.) • Review and attach required clinical documentation • Process and track internal and external referrals • Ensure compliance with HMO referral requirements • Enter and document authorization details in EMR/EHR systems • Follow up on pending authorizations and assist with resolving denials • Communicate insurance requirements and authorization status clearly to patients
🎯 Requirements
• 2+ years of experience in a U.S. medical office handling insurance verification and prior authorizations • Proven hands-on experience obtaining authorizations independently (not only assisting) • Strong knowledge of Medicare, Medicaid, and commercial plans (HMO, PPO, POS) • Solid understanding of deductibles, copays, coinsurance, and out-of-pocket maximums • Working knowledge of ICD-10 and CPT codes • Experience using payer portals (Availity, UnitedHealthcare, Aetna, Cigna, etc.) • Experience working with EMR/EHR systems • High attention to detail and ability to manage high-volume workflows • Strong English communication skills (written and verbal) • Reliable high-speed internet connection (minimum 100 MB) • Own laptop or desktop and professional headset.
🏖️ Benefits
• 100% Remote position • Full-time schedule (Monday–Friday) • Weekends off • Performance-based bonuses
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