Healthcare Prior Authorization & Insurance Verification Virtual Assistant

2 weeks, 6 days ago
Full-time
Senior
Customer and Technical Support
Winning Assistants

Winning Assistants

Winning Assistants specializes in providing HIPAA certified virtual assistants to healthcare professionals, enabling them to efficiently manage administrative tasks such as medical billing, coding, and patient communications, thereby allowing clients t...

Health Care Providers & Services

Description

  • Manage prior authorizations for vascular surgery procedures and related imaging studies.
  • Submit, track, and update radiology authorizations for CT, MRI, MRA, CTA, and ultrasound requests.
  • Prepare authorization letters and supporting documentation for insurance submissions.
  • Communicate with insurance companies regarding approvals, denials, modifications, and status updates.
  • Handle TriWest and veteran authorization requests.
  • Verify insurance eligibility, benefits, HMO referrals, and referral follow-ups.
  • Review patient notes, identify CPT codes, and generate patient cost estimates.
  • Verify copays, deductibles, and out-of-pocket expenses and assist with billing inquiries.
  • Process medical record requests and ensure imaging, lab, and clinical records are received before appointments.
  • Maintain accurate documentation in the EHR/EMR system and respond to authorization-related requests promptly.

Requirements

  • 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. healthcare practices is required.
  • Healthcare administrative experience is required.
  • Experience with vascular surgery, specialty care, or radiology authorizations is highly preferred.
  • Previous virtual assistant experience is preferred but not required.
  • Strong understanding of prior authorization processes and radiology authorizations for CT, MRI, MRA, CTA, and ultrasound.
  • Ability to review clinical notes and gather supporting documentation for authorizations.
  • Experience with patient estimates, insurance benefit verification, and EHR/EMR systems.
  • Strong critical thinking, problem-solving, organizational, and time management skills.
  • Ability to manage multiple authorization requests simultaneously and work independently with minimal supervision.
  • Excellent communication skills with insurance companies, providers, nurses, and patients.
  • Must speak and write English very clearly.
  • Must be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding.
  • Must be available for video meetings with camera on when needed.
  • Reliable laptop or desktop computer, high-speed internet of at least 25 Mbps, noise-canceling headset, webcam, and quiet professional workspace are required.

Benefits

  • Dedicated HR & Contractor Support Team for guidance, contract matters, and client communication.
  • Optional premium VPN access for added privacy and security.
  • HIPAA and cybersecurity training plus certification provided.
  • Access to Top 1% VA performance training and productivity best practices.
  • Client-approved U.S. holidays off, subject to client needs and schedule.
  • Client-approved paid or unpaid time off, if offered by the client.
  • Access to templates, workflow guides, productivity tools, and SOP support.
  • Optional performance-based incentives, bonuses, or increased hours based on client approval.

Interested in this position?

Apply directly on the company website

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