# Medical Virtual Assistant (Claims Management, Prior Authorization & Referrals) > Winning Assistants · Philippines (Remote) · Part-time · Posted 2026-05-29 **Salary:** USD 10,400–12,480 **Workplace:** remote ## Description **Job Title: Medical Virtual Assistant (Claims Management, Prior Authorization & Referrals)** **Position type:** Part-Time **Work hours:** Between 9:00 AM – 5:00 PM EDT **Work days:** Monday to Friday **Salary:** $5.00 – $6.00 per hour (depending on experience) **Job code:** DD-KaydiumTS **Workplace:** Remote **Preferred Candidate Location:** Philippines ### **Scope of Work/Responsibilities** We are seeking a proactive and detail-oriented Medical Virtual Assistant to support a growing therapy practice. This role is ideal for someone with healthcare administrative experience who can independently manage referrals, prior authorizations, claims follow-up, scheduling, and client communication while maintaining HIPAA compliance. We are looking for a results-driven professional who takes initiative, follows through on tasks, and helps ensure clients receive timely access to services. ### **Intake & Referral Management** - Process new client inquiries and referrals through the intake process. - Contact prospective clients within 24–48 hours of receiving inquiries. - Complete intake processing within 7–10 days. - Coordinate with referral sources and maintain ongoing communication. - Manage referrals from sources such as Psychology Today and healthcare providers. ### **Prior Authorization & Claims Management** - Submit and manage Medicaid prior authorizations. - Follow up on denied claims and resolve billing issues. - Track authorization status and ensure timely approvals. - Communicate with insurance companies regarding claim status and requirements. ### **Billing Accuracy & Insurance Verification** - Verify client insurance information and benefits. - Ensure claims are set up correctly and submitted accurately. - Review billing information for completeness and accuracy. - Work with commercial insurance platforms, including Blue Cross Blue Shield and other payers. ### **Client Communication & Scheduling** - Serve as a virtual receptionist by answering and managing inbound calls. - Make outbound calls to prospective clients and referral sources. - Schedule appointments and send appointment reminders. - Assist with payment collection and account follow-up when necessary. - Provide exceptional customer service to clients and stakeholders. ### **Administrative Support** - Perform data entry and maintain accurate records. - Manage workflows and task tracking using Trello. - Update client information within SimplePractice EHR. - Assist with general administrative and operational support tasks. - Work independently while meeting established performance goals. ## 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 attention to detail. - Ability to work independently and take initiative. - Strong follow-up and problem-solving abilities. - Understanding of HIPAA compliance and patient confidentiality. - Proficiency with Google Workspace and web-based applications. - Experience with SimplePractice EHR (preferred). - Experience using Trello for workflow management (preferred). - Familiarity with Google Voice (preferred). - Experience working with Medicaid and commercial insurance plans (preferred). - Background in appointment setting, customer service, account management, or healthcare call center environments (preferred). ### **Tools & Platforms Used** - SimplePractice (EHR & Scheduling) - Trello (Workflow Management) - Google Voice (Phone System) - Psychology Today (Referral Management) - Commercial Insurance Portals (Blue Cross Blue Shield and others) ### **Success in This Role** The ideal candidate is highly organized, responsive, and outcome-focused. We value team members who consistently follow through on tasks, maintain accuracy, and contribute to measurable results rather than simply staying busy. ### Basic requirements - Must be proficient in speaking and writing English very clearly - Must have relevant work experience - Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding \[mandatory\] - Must be available for video meetings with your camera on (when needed) ### Technical requirements - **Device:** Reliable laptop or desktop computer. - **Internet:** High-speed connection (minimum 25 Mbps). - **Audio:** Noise-canceling headset. - **Video:** Webcam for virtual meetings. - **Workspace:** Quiet, professional environment. ## Benefits - **Dedicated HR & Contractor Support Team:** Access to world-class support for questions, guidance, contract matters, and client communication. - **Premium VPN Access (Optional):** A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - **HIPAA & Cybersecurity Training + Certification (Provided):** Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - **Top 1% VA Performance Training:** Access 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. - **Access to Tools & Resources:** Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform 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 independent contractor. Any resources, trainings, or allowances listed are optional contractor perks and not employee benefits. ## Apply [Apply at Winning Assistants](https://apply.workable.com/winning-assistants/j/41561B5BD8/apply) --- Powered by [Workable](https://www.workable.com)