Medical VA – Prior Authorization, Patient Coordinator – Pediatrics

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Staffing For Doctors

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2025

🏥 Healthcare

🤝 B2B

🎯 Recruiter

Healthcare • B2B • Recruitment

Staffing For Doctors is a U. S. -based staffing service that places HIPAA-trained, specialty-matched virtual medical assistants and related clinical support staff for medical practices. Their remote team members handle scheduling, EHR documentation and charting, prior authorizations, patient communication, and other administrative/clinical tasks across dozens of specialties; hires are presented quickly (matched in 24 hours and live/onboarded within ~48 hours) at a flat $14/hr rate with no long-term contracts. The company emphasizes compliance and data security (HIPAA-trained staff, SOC 2 certified, BAA included, 256-bit SSL), white-glove onboarding via a dedicated customer success manager, and serves practices through a portal and demo/onboarding process.

📋 Description

• Independently initiate, track, and manage medication prior authorization cases from pre-submission through final decision • Review insurance denials, gather clinical documentation and chart notes from the EHR, and draft and submit appeal letters • Prepare for peer-to-peer reviews • Contact U.S. commercial, Medicare, and Medicaid payers to track status, clarify clinical criteria, and resolve authorization bottlenecks • Serve as a primary contact for U.S. patients and parents via phone, SMS, and email • Communicate medication status, insurance updates, and appointment scheduling information • Explain insurance processes, coverage delays, and out-of-pocket estimates clearly and empathetically • Verify medical and pharmacy benefits, copays, deductibles, and formulary coverage • Maintain documentation, logs, and status updates across practice management systems, payer portals, and communication channels • Identify workflow roadblocks and escalate complex clinical issues to providers when necessary • Adapt to practice-specific protocols and operate autonomously after onboarding and training

🎯 Requirements

• Minimum 2+ years of hands-on experience specifically managing medication prior authorizations, including denials, formulary exceptions, and appeals • Superior spoken English, active listening skills, and a confident, warm phone presence • Proven experience in U.S. healthcare workflows • Experience with medical and pharmacy insurance verifications • Experience in front-desk or patient care coordination • Familiarity with CoverMyMeds and major U.S. insurance portals • Familiarity with HIPAA-compliant communication tools • Familiarity with standard EHR platforms such as AthenaHealth, eClinicalWorks, or similar • High accountability and meticulous organization • Independent problem-solving skills and disciplined follow-through • Pediatric practice, family practice, or direct experience with parents/guardians is highly advantageous (preferred)