Prior Authorization Virtual Assistant
Prior Authorization Virtual Assistant
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Salary Not Disclosed
1 Vacancy
Job Description
Company: Health Express Clinics Texas USA
Location: Remote
Position Overview:
Health Express Clinics is seeking a detailoriented and proactive Prior Authorization Virtual Assistant to join our growing team. This remote position plays a vital role in supporting physicians and patients by coordinating and submitting insurance prior authorizations for medications imaging and procedures. The ideal candidate will have a strong background in medical administration prior auth processes and excellent communication and organizational skills.
Responsibilities:
Coordinate and complete insurance prior authorizations for medications diagnostic imaging (MRI CT ultrasound) and medical procedures.
Communicate with insurance companies to verify benefits obtain precertification and resolve authorization issues.
Review patient charts and clinical documentation to ensure completeness of information required for prior authorization submission.
Follow up with payers and providers to track the status of submitted authorizations.
Maintain accurate records of all authorizations in EMR or practice management software.
Update healthcare providers and patients on the status of their prior authorizations in a timely manner.
Assist in denial management by identifying causes for rejected authorizations and coordinating appeals if necessary.
Uphold patient privacy and HIPAA compliance in all communications and data handling.
Qualifications:
Required: Experience in prior authorization processes within a medical dental or insurance setting.
Familiarity with commercial insurance plans Medicare and Medicaid coverage guidelines.
Strong attention to detail and ability to manage multiple authorization requests simultaneously.
Excellent verbal and written communication skills.
Proficiency in electronic medical records (EMRs) or practice management systems.
Ability to work independently with minimal supervision in a remote work environment.
Strong organizational and time management skills.
Preferred Qualifications: (Optional remove if not needed)
Certification or coursework in medical office administration or billing and coding.
Experience using eFax secure messaging and payerspecific online portals.
Bilingual in English and Spanish or another commonly spoken language in healthcare.
Technical Requirements:
Operating System: Windows 10 Pro (32/64bit) Genuine
CPU: Intel Core i5 8th Gen or higher / AMD equivalent
RAM: Minimum 8GB
Power Backup: UPS or Generator preferred
Internet Speed: Minimum 50 Mbps (DSL/Fiber only; LTE not accepted)
Headset: USB headset with microphone (e.g. Plantronics Audio 628 recommended)
Webcam: HD 720p/1080p (e.g. A4Tech PK910H recommended)
Monitor: External monitor (17 19 or 22)
Benefits:
Independent Contractor position
Compensation: $5/hr (first 3 months) increasing to $6/hr after
CST/PST/EST work schedule
HMO provided after 6 months of service
How to Apply:
DO NOT APPLY IF YOU DO NOT MEET THE TECHNICAL REQUIREMENTS
Submit your updated resume
Include a 1minute LOOM video for selfintroduction
Employment Type
Full Time
