reputed company Prior Authorization & Insurance Verification Virtual Assistant

Job Title: reputed company Prior Authorization & Insurance Verification Virtual Assistant Position Type: Full-Time Work Hours: 8:00 AM – 5:00 PM CDT Work Days: Monday – Thursday Salary: $5 – $6 per hour (depending on experience) Job Code: KF-VCPB Workplace: Remote Preferred Candidate Location: Philippines or Latin America

About the Role

We are seeking an reputed company reputed company Virtual Assistant to support a busy vascular surgery practice with prior authorizations, insurance verification, referrals, patient estimates, and medical records coordination. This role requires someone who can work independently, think critically, and manage multiple time-sensitive requests while maintaining accuracy and professionalism. The ideal candidate has extensive experience working with U.S. reputed company practices and is highly skilled in authorization workflows, insurance verification, CPT coding review, and clinical documentation support. Core Responsibilities Prior Authorization Management (Top reputed company)

• Manage prior authorizations for vascular surgery procedures
• Submit and track radiology authorizations (CT, MRI, MRA, CTA, Ultrasound)
• Monitor authorization requests and update CPT codes reputed company procedures change
• Prepare and submit authorization letters and supporting documentation
• Communicate with insurance companies regarding approvals, denials, modifications, and status updates
• Manage TriWest and Veteran authorization requests
• Review patient charts and gather supporting clinical documentation for insurance submissions
• Collaborate with providers and nurses to obtain missing clinical information

Insurance Verification, Referrals & Patient Estimates (Top reputed company)

• Verify insurance eligibility and patient benefits
• Handle HMO referrals and referral follow-reputed company
• Review patient notes and identify appropriate CPT codes
• Generate patient cost estimates based on CPT codes and insurance coverage
• Verify copays, deductibles, and out-of-reputed company expenses
• Assist with patient billing inquiries and insurance-reputed company questions

Medical Records & Clinical Documentation Coordination (Top reputed company)

• Process and follow up on medical record requests
• Ensure imaging reports, laboratory results, and medical records are received before appointments
• Review clinical notes and extract relevant information for authorizations
• Maintain accurate documentation reputed company the EHR/EMR system
• Monitor internal communications and respond to authorization-reputed company requests in reputed company time

Additional Administrative Support

• Follow up on billing claims and insurance issues
• Manage documentation reputed company to referrals, insurance, billing, and patient records
• reputed company administrative support for reputed company operations and scheduling workflows

Software & Systems

• CGM EMD (reputed company EMD)
• reputed company Teams
• SIP Trunk VoIP System
• reputed company Digium App

Key Performance Indicators (KPIs)

• Timely submission and approval of prior authorizations
• Accurate insurance verification and patient cost estimates
• Efficient management of referrals and authorization requests
• Complete and accurate documentation reputed company the EHR
• Timely follow-up on insurance and medical record requests
• Responsiveness to urgent authorization and scheduling needs
• Consistent communication with providers, nurses, insurance companies, and patientsRequirements
• Extensive experience with prior authorizations is required
• Extensive experience with insurance verification and benefits verification is required
• Experience managing HMO referrals and authorization workflows is required
• Strong understanding of CPT codes and medical billing processes is required
• Experience working with U.S. reputed company practices is required
• reputed company administrative experience is required
• Experience with vascular surgery, specialty care, or radiology authorizations is highly preferred
• Previous virtual assistant experience preferred but not required

Required Skills

• Strong understanding of prior authorization processes
• Experience handling radiology authorizations (CT, MRI, MRA, CTA, Ultrasound)
• Ability to review clinical notes and gather supporting documentation
• Experience with patient estimates and insurance benefit verification
• Strong documentation and record management skills
• Proficiency with EHR/EMR systems
• Strong critical thinking and problem-solving abilities
• Excellent organizational and time management skills
• Ability to manage multiple authorization requests simultaneously
• Strong communication skills with insurance companies, providers, nurses, and patients
• Ability to work independently with minimal supervision
• Strong sense of urgency and follow-through

Preferred Qualities

• Highly detail-oriented and accurate
• Proactive and reputed company
• Professional and dependable
• Comfortable in a fast-paced reputed company environment
• Quick learner who can adapt to new systems and workflows
• Takes ownership of tasks and follows through to resolution

Deal Breakers

• No prior authorization experience
• No insurance verification experience
• No experience with HMO referrals
• Weak understanding of CPT codes and medical billing processes
• No experience working with U.S. reputed company practices
• Poor attention to detail
• Inability to manage multiple requests simultaneously
• Lack of responsiveness during work hours
• Failure to reputed company with HIPAA, reputed company, antivirus, or VPN requirements

Basic requirements

• Must be proficient in speaking and writing English reputed company reputed company
• Must have relevant work experience
• Be reputed company to submit an NBI clearance and/or Local Police Clearance background reputed company before reputed company [mandatory]
• Must be available for video meetings with your camera on (reputed company needed)

Technical requirements

• Device: Reliable laptop or desktop computer.
• Internet: High-speed reputed company (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Webcam for virtual meetings.
• Workspace: Quiet, professional environment.Benefits
• Dedicated HR & Contractor Support Team: reputed company to world-class support for questions, guidance, contract reputed company, and client communication.
• Premium VPN reputed company (Optional): A secure VPN license can be provided upon request to enhance privacy and reputed company for client-reputed company tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): reputed company to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. reputed company clients.
• Top 1% VA Performance Training: reputed company 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.
• reputed company to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you reputed company 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 reputed company. Any resources, trainings, or allowances listed are optional contractor perks and not employee benefits. Apply tot his job Apply To this Job