Medical Virtual Assistant – Athena Health, Prior Authorization

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Winning Assistants LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Winning Assistants LLC is a staffing and recruiting company that provides virtual assistants from the top 1% of the global talent pool. They specialize in helping doctors, healthcare professionals, and business owners save time, reduce costs, and scale operations with highly skilled, HIPAA-compliant virtual assistants. Their services include admin support, medical office management, marketing, and customer service, allowing clients to focus on growth.

📋 Description

• Process Prior Authorizations (PA) for medications, diagnostic tests, imaging, procedures, and specialty services using payer portals and insurance guidelines. • Manage Remote Patient Monitoring (RPM) workflows by monitoring patient data, documenting updates, escalating abnormal readings, and coordinating with providers as needed. • Process and coordinate patient referrals, ensuring accurate documentation, insurance compliance, and timely communication with specialists and patients. • Contact laboratories to obtain pending patient lab results and ensure timely documentation in Athena Health. • Perform insurance eligibility and benefits verification across multiple commercial and government insurance plans. • Run reports within Athena Health EMR to support clinical and administrative workflows. • Document all patient interactions, authorizations, referrals, and insurance communications accurately within Athena Health. • Respond to patient inquiries and provide phone support during downtime between Prior Authorization tasks. • Coordinate with providers, pharmacies, laboratories, and insurance companies to ensure timely patient care. • Maintain HIPAA compliance and protect patient confidentiality at all times. • Support general administrative and front-office functions as assigned.

🎯 Requirements

• Experience with Prior Authorization processing is REQUIRED (non-negotiable). • Hands-on experience using Athena Health EMR is REQUIRED (no training available). • Previous experience working in a Primary Care clinic is REQUIRED. • Strong understanding of medical terminology, healthcare workflows, and clinical documentation. • Experience verifying insurance eligibility and benefits across multiple insurance carriers, including: • Medicare • Medicaid • Humana • UnitedHealthcare • Anthem Blue Cross • Commercial insurance plans • CoverMyMeds • Availity • Experience with Remote Patient Monitoring (RPM) programs. • Excellent organizational skills with exceptional attention to detail. • Strong multitasking, problem-solving, and time management abilities. • Excellent verbal and written English communication skills. • Ability to work independently in a remote environment while maintaining productivity and accuracy. • Must speak and write English clearly and professionally. • Must have relevant work experience. • Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). • Must be available to attend video meetings with camera on when required.

🏖️ Benefits

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. • Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. • HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. • Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. • Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. • Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. • Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. • Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.