Medical Virtual Assistant - Prior Authorization Specialist
Job Title: Medical Virtual Assistant – Prior Authorization Specialist
Position Type: Part-Time (20 hours per week)
Work Schedule:
- Monday: 8:00 AM – 4:00 PM Central Time (7 paid hours)
- Tuesday: 8:00 AM – 4:00 PM Central Time (7 paid hours)
- Friday: 8:00 AM – 2:00 PM Central Time (6 paid hours)
Salary: $5–$6 per hour, depending on experience
Workplace: Remote
Preferred Candidate Location: Philippines
About the Practice
Our Client is looking for a detail-oriented and reliable Medical Virtual Assistant to support a growing psychiatric and addiction care practice based in Missouri, USA. The practice is dedicated to providing compassionate, patient-centered mental health and addiction treatment services.
The ideal candidate has hands-on prior authorization experience, strong phone communication skills, and a background in behavioral health or medical administration. You will help streamline daily operations, coordinate with patients, pharmacies, and insurance companies, and provide essential administrative support so the healthcare provider can focus on patient care.
Key Responsibilities
Top 3 Priorities
1. Prior Authorization Management (Top Priority)
- Process and follow up on prior authorization requests, particularly for medications.
- Coordinate with insurance companies and pharmacies to obtain approvals and resolve authorization issues.
- Track pending requests, monitor statuses, and maintain accurate documentation.
2. Inbound & Outbound Call Management
- Handle incoming and outgoing calls from patients, pharmacies, and insurance representatives.
- Respond to patient inquiries professionally and compassionately.
- Coordinate pharmacy communications and medication-related requests.
- Provide virtual receptionist support and assist with general front-desk inquiries.
3. Medical Administrative & EHR Support
- Schedule, reschedule, and coordinate patient appointments.
- Monitor, organize, and respond to emails.
- Process patient referrals and manage incoming and outgoing faxes.
- Monitor and respond to patient messages through Charm EHR.
- Maintain accurate patient records and support daily administrative operations.
Requirements
Must-Have Qualifications
- Hands-on prior authorization experience is essential, including processing, tracking, and following up on authorization requests.
- Previous experience in a behavioral health, mental health, or general healthcare setting.
- Strong inbound and outbound call-handling experience, including patient inquiries and pharmacy coordination.
- Experience with patient scheduling, email management, referrals, and medical administrative tasks.
- Excellent written and verbal English communication skills.
- HIPAA training or certification and a strong understanding of patient confidentiality.
- Strong attention to detail, organizational skills, and ability to manage multiple tasks accurately.
- Tech-savvy and comfortable navigating healthcare software and multiple systems.
- Reliable, proactive, self-motivated, and capable of working independently.
- Patient, compassionate, and professional when communicating with patients.
- Must be available to work the required 20-hour weekly schedule in Central Time.
Preferred Qualifications
- Previous experience supporting a psychiatric, behavioral health, or addiction treatment practice.
- Familiarity with Charm EHR or the ability to learn it quickly.
- Experience handling medication-related prior authorizations.
- Familiarity with Ooma VoIP or similar phone systems.
- Previous experience as a Medical Virtual Assistant or Virtual Medical Receptionist.
A medical degree or professional medical license is not required.
Basic Requirements
- 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.
Technical Requirements
- Computer: Reliable laptop or desktop computer.
- Internet: Stable high-speed internet connection (minimum 25 Mbps).
- Audio: Noise-canceling headset.
- Video: Working webcam for virtual meetings.
- Workspace: Quiet and professional work environment.
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.
These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.
Skills
As published by workable · 19 questions · 1 written answer
Basics
First name, Last name, Email, Phone, Address, Education, Experience, Resume, Cover letter
Short answers (3)
- What is your Date of Birth?
- What is your full government name? (Please enter it in this order: first name, middle name, last name. We use this to properly organize applicants who may have similar names.)
- In a 1–2 minute voice recording, please answer the following question(s): Can you walk me through your experience handling prior authorizations, including the process from submission to approval and following up on pending requests? To record your answer, you can use a free recorder such as www.vocaroo.com. Simply click record, speak clearly. Once you’re done recording, copy the link and paste it below.
Pick from a list (15)
- Are you available to work at this time schedule?
- Do you accept the payment rate listed in the job description for this role?
- Do you have more than 1 year of experience working in the healthcare industry preferably with US clients/companies?
- Do you have experience using EMRs (Electronic Medical Record) and EHRs (Electronic Health Record)?
- Do you have experience using CRMs or related softwares?
- Are you able to join video calls (Zoom, Google Meet, etc.) during your shift and turn on your camera if needed?
- Do you have a reliable computer, headset, and camera available for work if you are offered the position?
- This role requires a background check clearance (NBI clearance, local police clearance, or equivalent). Will you be able to provide one if hired?
- Have you ever been convicted of any crime involving fraud, theft, dishonesty, or breach of trust?
- Have you ever been involved in any incident where client or company information was mishandled, leaked, or misused?
- Have you ever been terminated, dismissed, or asked to resign from a previous job due to misconduct, violation of company policy, or performance issues?
- Please mark all that you have experience with
- 1. Do you have hands-on experience processing, tracking, and following up on medical or medication prior authorizations with insurance companies?
- 2. Do you have previous work experience in a behavioral health, psychiatric, addiction treatment, or other healthcare setting?
- 3. Do you have experience handling inbound and outbound calls with patients, pharmacies, and insurance representatives?
Written answers (1)
- Is there any additional information you’d like to share that may help us better understand your qualifications for this role? (If not, put "none")