Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims Support
$12,480–$12,480 year
RemotePhilippines
Job Summary
Process prescription refill requests, track queues in Athena, and reconcile pharmacy data. Submit and follow up on prior authorizations for chronic and weight-management medications, coordinating denials and additional information with providers. Assist with basic claims processing, review payer portal statuses, and document updates accurately. Conduct outbound calls for appointment reminders, relay provider instructions, and document patient acknowledgments. Upload external clinical documents, request lab results, and route urgent patient information to the appropriate team members. Maintain accurate inbox documentation and report system access issues. Requires Athena expertise, strong outbound calling skills, and 30 hours/week remote work.
Required Qualifications
- At least 1 year of experience as a Medical Virtual Assistant, Clinical Support VA, Medical Assistant, or similar role
- Proven hands-on experience with Athena
- Strong outbound calling skills and professional communication
- Prior authorization experience
- Claims processing or insurance follow-up experience
- Strong documentation accuracy and task management skills
- Ability to work independently in a fast-paced clinic environment
- Familiarity with CoverMyMeds
- Comfortable communicating with patients, pharmacies, providers, and insurance representatives
- Charting or clinical documentation experience
- Experience using payer portals or insurance verification tools
Desired Qualifications
- Athena expertise
- Strong experience navigating Athena task queues, documentation, charting, patient records, and clinical workflows
- CoverMyMeds experience
- Google Voice experience
- Family Medicine or Primary Care experience
- Experience handling prior authorizations for chronic care medications
- Experience with weight-management medication authorizations
- Experience following up on denied or pending claims
- Experience requesting records, lab results, imaging results, or discharge summaries
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