Medical Virtual Assistant (Claims Management, Prior Authorization & Referrals)

12 hours, 25 minutes ago
Part-time
Junior
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 new client inquiries and referrals through the intake workflow.
  • Contact prospective clients within 24–48 hours and complete intake processing within 7–10 days.
  • Coordinate with referral sources and manage referrals from Psychology Today and healthcare providers.
  • Submit and manage Medicaid prior authorizations and track authorization status.
  • Follow up on denied claims, resolve billing issues, and communicate with insurance companies.
  • Verify insurance information and benefits and ensure claims are accurate before submission.
  • Answer and manage inbound calls, place outbound calls, schedule appointments, and send reminders.
  • Assist with payment collection, account follow-up, and client communication.
  • Maintain accurate records, perform data entry, and update client information in SimplePractice EHR.
  • Manage workflows and task tracking in Trello and support general administrative tasks.

Requirements

  • Experience in healthcare administration, medical virtual assistance, or a related healthcare support role.
  • Experience handling prior authorizations, insurance verification, referrals, or medical claims.
  • Strong phone communication and customer service skills.
  • Excellent organizational skills and strong attention to detail.
  • Ability to work independently, take initiative, and follow through on tasks.
  • Strong follow-up and problem-solving abilities.
  • Understanding of HIPAA compliance and patient confidentiality.
  • Proficiency with Google Workspace and web-based applications.
  • Proficiency in speaking and writing 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 a quiet professional workspace.
  • Experience with SimplePractice EHR is preferred.
  • Experience using Trello for workflow management is preferred.
  • Familiarity with Google Voice is preferred.
  • Experience working with Medicaid and commercial insurance plans is preferred.
  • Background in appointment setting, customer service, account management, or healthcare call center environments is preferred.

Benefits

  • Dedicated HR and contractor support team for guidance, contract matters, and client communication.
  • Optional premium VPN access for added privacy and security.
  • Provided HIPAA and cybersecurity training plus certification.
  • Access to proprietary top-performer VA training on communication, productivity, and client management.
  • 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 client-specific SOP support.
  • Optional performance-based incentives such as bonuses or increased hours, when approved by the client.

Interested in this position?

Apply directly on the company website

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