Prior Authorization – Billing Specialist

🔥 1 minute ago

🇵🇭 Philippines – Remote

💵 $10.4k - $12.5k / year

⏰ Full Time

🟢 Junior

📊 Billing Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 17%

What it means: how likely this posting is sitting open without active hiring.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

• Handle, process, track, and follow up on prior authorization requests • Answer and triage incoming patient calls • Gather patient information, address general inquiries, and route concerns to appropriate healthcare personnel • Process prescription refill requests and coordinate with healthcare providers for approval • Monitor pending prescription requests for timely follow-up • Manage end-to-end medical billing, including claims preparation, submission, routing, payment posting, status monitoring, and follow-ups on outstanding or denied claims • Verify patient insurance eligibility, benefits, and coverage manually when insurance information or package selections in Athena EHR require correction • Assist with overflow patient calls during high-volume periods • Maintain accurate patient records, insurance information, authorization statuses, and billing documentation in the practice’s EHR system • Coordinate with healthcare providers, insurance representatives, pharmacies, and internal team members • Ensure accuracy, confidentiality, and HIPAA compliance when handling patient information

🎯 Requirements

• At least 1 year of experience in medical virtual assistance, healthcare administration, medical billing, prior authorization, or a similar healthcare-related role • Strong understanding of medical administrative workflows • Willingness to undergo training for practice-specific processes • Experience handling patient calls, triage, intake, and patient coordination • Knowledge of prescription refill workflows, insurance eligibility verification, and medical claims processes • Excellent English communication skills, both written and verbal • Strong organizational skills and attention to detail • Ability to manage multiple responsibilities efficiently • Ability to work independently in a remote healthcare environment while maintaining patient confidentiality • 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 • Must be available to attend video meetings with camera on when required • Reliable laptop or desktop computer • Stable high-speed internet connection (minimum 25 Mbps) • Noise-canceling headset • Working webcam for virtual meetings • 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 • Access to Tools & Resources • Optional Performance-Based Incentives • Bonuses, incentives, or increased hours may be offered based on performance