# Prior Authorization Specialist

> Winning Assistants · Philippines (Remote) · Full-time · Posted 2026-07-01

**Salary:** USD 10,400–14,560

**Workplace:** remote

## Description

**Job Title: Prior Authorization Specialist** 

**Job Code:** \[JW-BOD\]

**Position Type:** Full-time

**Work Hours:** 8:00 AM - 5:00 PM Eastern Daylight Time, Monday - Friday

**Salary rate:** $5 - $6 per hour

### Job Responsibilities:

-   Process and submit prior authorization requests to insurance companies.
-   Verify patient insurance eligibility, benefits, and coverage.
-   Follow up with insurance carriers regarding authorization status.
-   Communicate professionally with providers, clinic staff, patients, and insurance representatives via phone and email.
-   Maintain accurate documentation of authorization requests, approvals, denials, and outcomes.
-   Update patient records and EMR/EHR systems with authorization information.
-   Investigate and resolve authorization issues, denials, or delays.
-   Monitor authorization expiration dates and submit renewal requests as needed.
-   Prioritize and manage multiple authorization cases while meeting deadlines.
-   Ensure compliance with HIPAA regulations and maintain patient confidentiality

## Requirements

-   At least 1 year of experience in medical prior authorizations, medical billing, insurance verification, or a related healthcare administrative role.
-   Experience working with EMR/EHR systems.
-   Hands-on experience using insurance portals such as TRICARE, UnitedHealthcare (UHC), Availity, and similar payer portals for eligibility verification, authorization requests, and claim status inquiries.
-   Excellent verbal and written English communication skills.
-   Strong organizational skills with exceptional attention to detail.
-   Proficient in data entry and Microsoft Office/Google Workspace.
-   Ability to work independently in a fast-paced remote environment.
-   Understanding of HIPAA regulations and patient confidentiality requirements.  
    

### 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, training, or allowances listed are optional contractor perks and not employee benefits._

## Apply

[Apply at Winning Assistants](https://apply.workable.com/winning-assistants/j/5EA6F3BBF3/apply)

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