# Prior Authorization & Billing Specialist

> Winning Assistants · Philippines (Remote) · Full-time · Posted 2026-10-24

**Salary:** USD 10,400–12,480

**Workplace:** remote

## Description

**Job Title: Prior Authorization & Billing Specialist**

**Position type: Full-Time**

**Working Hours: 9:00 AM – 6:00 PM Pacific Daylight Time , Monday - Friday  
Salary rate: $5-$6**

**Key Responsibilities:**

-   Handle, process, track, and follow up on prior authorization requests to ensure timely approvals and continuity of patient care.
-   Answer and triage incoming patient calls, gather relevant patient information, address general inquiries, and route concerns to the appropriate healthcare personnel.
-   Process prescription refill requests, coordinate with healthcare providers for approval, and monitor pending requests to ensure timely follow-up.
-   Manage end-to-end medical billing processes, including claims preparation, submission, routing, payment posting, claim status monitoring, and follow-ups on outstanding or denied claims.
-   Verify patient insurance eligibility, benefits, and coverage manually when insurance information or package selections in Athena EHR require correction.
-   Assist with overflow patient calls during high-volume periods while maintaining professional and empathetic communication.
-   Maintain accurate patient records, insurance information, authorization statuses, and billing documentation in the practice's EHR system.
-   Coordinate with healthcare providers, insurance representatives, pharmacies, and internal team members to resolve patient and administrative concerns.
-   Ensure accuracy, confidentiality, and compliance with HIPAA regulations when handling patient information.

## Requirements

-   At least 1 year of experience in medical virtual assistance, healthcare administration, medical billing, prior authorization, or a similar healthcare-related role.
-   Strong understanding of medical administrative workflows, with willingness to undergo training for practice-specific processes.
-   Experience handling patient calls, triage, intake, and patient coordination.
-   Knowledge of prescription refill workflows, insurance eligibility verification, and medical claims processes.
-   Excellent English communication skills, both written and verbal.
-   Strong organizational skills, attention to detail, and ability to manage multiple responsibilities efficiently.
-   Ability to work independently in a remote healthcare environment while maintaining patient confidentiality.

  
  

### Basic Requirements

-   Must speak and write English clearly and professionally.
-   Must have relevant work experience.
-   Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
-   Must be available to attend video meetings with camera on when required.

### Technical Requirements

-   Computer: Reliable laptop or desktop computer.
-   Internet: Stable high-speed internet connection (minimum 25 Mbps).
-   Audio: Noise-canceling headset.
-   Video: Working webcam for virtual meetings.
-   Workspace: Quiet and professional work 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/AE2DC1D9D5/apply)

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