Medical Virtual Assistant (Athena Health & Prior Authorization)

1 day, 5 hours ago
Part-time
Mid Level
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

  • Process prior authorizations for medications, diagnostic tests, imaging, procedures, and specialty services.
  • Manage remote patient monitoring workflows by reviewing patient data, documenting updates, and escalating abnormal readings.
  • Coordinate patient referrals and communicate with specialists and patients to ensure timely follow-up.
  • Contact laboratories to obtain pending results and document them in Athena Health.
  • Verify insurance eligibility and benefits across multiple commercial and government plans.
  • Run reports in Athena Health EMR to support clinical and administrative workflows.
  • Document patient interactions, authorizations, referrals, and insurance communications accurately in Athena Health.
  • Respond to patient inquiries and provide phone support during downtime.
  • Coordinate with providers, pharmacies, laboratories, and insurance companies to support patient care.
  • Maintain HIPAA compliance and support general administrative and front-office tasks.

Requirements

  • Prior authorization processing experience is required.
  • Hands-on experience using Athena Health EMR is required.
  • Previous experience in a primary care clinic is required.
  • Strong understanding of medical terminology, healthcare workflows, and clinical documentation.
  • Experience verifying insurance eligibility and benefits across Medicare, Medicaid, Humana, UnitedHealthcare, Anthem Blue Cross, commercial plans, CoverMyMeds, and Availity.
  • Experience with remote patient monitoring programs.
  • Excellent organizational skills with strong attention to detail.
  • Strong multitasking, problem-solving, and time management abilities.
  • Excellent verbal and written English communication skills.
  • Ability to work independently in a remote environment with a reliable laptop or desktop, stable internet of at least 25 Mbps, noise-canceling headset, webcam, and quiet workspace.
  • Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding.
  • Must be available for video meetings with camera on when required.
  • RN background is strongly preferred.
  • Clinical experience in a primary care environment is preferred.
  • Knowledge of chronic care management workflows is preferred.
  • Experience coordinating referrals and patient care follow-ups is preferred.

Benefits

  • $5.00–$6.00 USD per hour, depending on experience.
  • Dedicated HR and contractor support team.
  • Optional premium VPN access.
  • HIPAA and cybersecurity training plus certification provided.
  • Top 1% VA performance training provided.
  • Client-approved U.S. holidays off, subject to client needs.
  • Client-approved paid or unpaid time off may be available.
  • Access to templates, workflow guides, productivity tools, and SOP support.
  • Optional performance-based incentives, bonuses, or increased hours may be offered.

Interested in this position?

Apply directly on the company website

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