Medical Virtual Assistant – Prior Authorization, Healthcare Administration

🔥 0 minutes ago

🇵🇭 Philippines – Remote

💵 $6.2k - $7.3k / year

⏱ Part Time

🟡 Mid-level

🟠 Senior

👨‍💼 Executive Assistant

👻 Ghost score 17%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Prepare, submit, track, and manage healthcare prior authorization requests • Coordinate with insurance providers regarding authorization requirements and submission procedures • Verify complete and accurate patient, provider, and supporting documentation • Follow up on pending authorization requests and monitor determinations • Track approvals, denials, pending requests, outstanding documentation, authorization numbers, effective dates, and expiration dates • Monitor authorization expiration dates and provide timely reminders • Identify authorization discrepancies or missing requirements and coordinate resolutions • Communicate authorization updates and concerns to healthcare staff • Answer, screen, route, and document incoming calls • Escalate urgent or sensitive concerns according to established procedures • Assist with outbound administrative follow-ups and outreach • Maintain staff credential, certification, and training records • Track renewal deadlines and provide reminders • Update credentialing trackers, spreadsheets, and administrative records • Follow up on missing or incomplete credentialing and training requirements • Assist with confidential HR documentation and compliance-sensitive tracking • Verify patient insurance eligibility, coverage, and benefits • Support medical billing tasks and organize billing records and follow-ups • Conduct community outreach via calls and email • Assist with appointment scheduling and coordination • Support data entry, document organization, and general clerical tasks • Coordinate with internal staff on administrative requests • Maintain HIPAA compliance and patient confidentiality

🎯 Requirements

• Proven hands-on experience submitting, tracking, and managing U.S. healthcare prior authorizations (mandatory) • Familiarity with insurance authorization requirements, submission procedures, and payer follow-up processes • Experience monitoring authorization statuses, approval dates, and expiration dates • Ability to identify missing documentation and resolve administrative authorization issues • Strong attention to detail when reviewing authorization requests and supporting records • Ability to maintain organized trackers and follow up on outstanding requests independently • Previous experience supporting U.S.-based healthcare practices or healthcare administrative operations • Familiarity with common healthcare workflows, medical terminology, and insurance-related processes • Understanding of insurance eligibility, benefits verification, and general medical billing support • Experience maintaining accurate patient or administrative records • Knowledge of HIPAA requirements and patient confidentiality • Ability to handle healthcare information professionally and securely • Excellent verbal and written English communication skills (mandatory) • Strong professional phone etiquette and confidence handling incoming and outbound calls • Ability to communicate clearly with patients, insurance representatives, staff members, and external contacts • Strong active listening skills and attention to detail when documenting messages • Ability to screen calls and appropriately route inquiries • Comfortable communicating professionally in a remote healthcare environment • Strong organizational skills and ability to manage multiple tasks and deadlines • Ability to maintain accurate trackers, spreadsheets, and administrative records • Attention to detail when monitoring staff credentials, certifications, and training expiration dates • Ability to provide timely reminders and follow up on outstanding requirements • Comfortable handling confidential administrative and staff information • Ability to learn and follow HR credentialing and compliance-tracking procedures • Experience using EHR/EMR systems or similar healthcare administrative platforms • Strong computer literacy and proficiency with digital documentation, spreadsheets, and online communication tools • Willingness and ability to learn Integrity Checkpoint EHR • Ability to work independently with minimal supervision • Strong problem-solving skills and proactive approach to administrative responsibilities • Excellent time management, multitasking, and prioritization skills • Dependable, adaptable, and committed to completing tasks accurately and on time • Must submit an NBI Clearance and/or Local Police Clearance before onboarding (mandatory) • Must be available for video meetings with camera on when required • Must be available Monday through Friday, 1:00 PM to 5:00 PM Eastern Time • Reliable laptop or desktop computer • Stable high-speed internet connection (minimum 25 Mbps) • Noise-canceling headset • Working webcam • Quiet and professional work environment

🏖️ Benefits

• Dedicated HR & Contractor Support Team • Premium VPN Access (Optional) • HIPAA & Cybersecurity Training + Certification (Provided) • Top 1% VA Performance Training • Client-Approved U.S. Holidays • Client-Approved Paid or Unpaid Time Off (paid time off is optional and only if offered by the client) • Access to Tools & Resources, including templates, workflow guides, productivity tools, and client-specific SOP support • Optional Performance-Based Incentives, bonuses, or increased hours based on performance

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