# Medical Virtual Assistant - Prior Authorization > Winning Assistants · Philippines (Remote) · Part-time · Posted 2026-10-29 **Salary:** USD 5,200–6,240 **Workplace:** remote ## Description **Job Title: Medical Virtual Assistant — Prior Authorization Position Type: Part-Time (20 hours per week), with potential to transition to full-time Work Hours: 10:30 AM – 2:30 PM Central Time Work Days: Monday to Friday Salary: 5–6 per hour, depending on experience Workplace: Remote Preferred Candidate Location: Philippines** ### About the Client & Role Our client is a U.S.-based **psychiatry and behavioral health practice** seeking a reliable, experienced, and highly organized **Medical Virtual Assistant — Prior Authorization** to manage medication prior authorizations, insurance eligibility and copay verification, clinical documentation preparation, and medical administrative paperwork. The practice serves a substantial Medicare and Medicaid patient population and needs someone who can independently navigate payer requirements, resolve authorization issues, and reduce administrative backlogs without constant supervision. The position will initially be **part-time at 20 hours per week**, with the possibility of transitioning to f**ull-time after approximately 2–3 weeks based on performance and practice needs**. The ideal candidate **has hands-on prior authorization and insurance verification experience, strong technical skills, excellent follow-through, and the ability to learn practice-specific workflows quickly.** The client's primary goal is to reduce administrative interruptions and allow the provider to focus on patient care and clinical documentation. ### Scope of Work / Responsibilities ### Prior Authorizations — Primary Priority - Independently prepare, submit, and follow up on medication prior authorization requests, including those involving Medicare and Medicaid. - Review payer requirements, required clinical documentation, and authorization status to help prevent processing delays. - Communicate with insurance companies, pharmacy benefit managers, and pharmaceutical support programs to resolve outstanding requests. - Track pending, approved, and denied authorizations, ensuring timely follow-ups and appropriate escalation. - Maintain accurate authorization records and supporting documentation in the EHR. - Assist with authorization-related issues using CoverMyMeds or applicable insurance portals. ### Insurance Eligibility & Copay Verification - Verify patient insurance eligibility, active coverage, benefits, and copay amounts before appointments. - Navigate Medicare, Medicaid, and commercial insurance portals to confirm coverage requirements. - Contact insurance representatives to resolve discrepancies, clarify benefits, and confirm patient financial responsibilities. - Document verified coverage and copay information accurately in the patient record. - Perform insurance verification independently, including when the practice's biller is unavailable. - Flag unresolved eligibility or payment concerns for appropriate follow-up. ### Clinical Documentation & Administrative Paperwork - Prepare clinical note templates and transfer selected information from existing documentation or AI-generated notes into the EHR for provider review and completion. - Update and organize established templates without independently interpreting clinical findings or finalizing medical documentation. - Prepare demographic and administrative sections of FMLA and short-term disability forms for provider review and signature. - Draft return-to-work and return-to-school letters using approved templates and provider-supplied information. - Prepare lab requisitions and related administrative documentation for provider approval. - Maintain accurate patient records and coordinate documentation tasks with the in-person office assistant. ### Medical Administration & Patient Coordination - Monitor prescription refill requests and route them to the appropriate clinical staff for review. - Assist with patient intake forms, appointment scheduling, and virtual appointment links as needed. - Organize and route patient requests, outstanding documentation, and administrative tasks to appropriate team members. - Answer patient calls and record messages when priority authorization, insurance, and documentation responsibilities are caught up. - Maintain organized task lists and follow up on outstanding administrative requirements. ### Daily Communication & Workflow Management - Participate in a daily phone check-in with the provider or office assistant to review priorities and outstanding tasks. - Send start-of-day and end-of-day availability updates through WhatsApp. - Provide task status updates using the practice's existing WhatsApp staff groups. - Report unresolved issues, delays, and work interruptions promptly. - Attend Google Meet training sessions as needed and apply practice-specific instructions independently. ### Tools You'll Use - **TherapyNotes** — Current EHR/EMR system; the practice may transition to another platform - **CoverMyMeds** — Medication prior authorization management - Medicare, Medicaid, and commercial insurance portals - **RingCentral** — Phone communication - **WhatsApp** — Daily check-ins and task coordination - **Google** **Meet** — Training and meetings ## Requirements ### Experience Requirements - **Medication Prior Authorization Experience: Required.** Candidates must have demonstrated hands-on experience processing and following up on medication prior authorizations, navigating payer requirements, and resolving pending or denied requests independently. Experience with Medicare and Medicaid authorizations is highly preferred. - **Insurance Verification & Copay Experience: Required.** Candidates must have experience verifying insurance eligibility, benefits, coverage, and copay amounts using payer portals and insurance representative calls. - **Healthcare Administrative Experience: Required.** Candidates must have previous experience supporting U.S. healthcare practices with medical documentation, insurance coordination, patient records, and administrative workflows. - **EHR / EMR Experience: Required**. Candidates must be proficient in navigating electronic health records, updating patient information, and organizing medical documentation. TherapyNotes experience is preferred but not required. - **Medical Documentation & Template Management: Required.** Candidates must be comfortable updating existing medical templates, transferring documentation into EHR systems, and preparing administrative paperwork accurately for provider review. - **Technical & Computer Proficiency: Required**. Candidates must have strong computer skills, be comfortable navigating multiple software platforms, and be able to learn new systems quickly without extensive technical assistance. - **CoverMyMeds Experience: Highly preferred**. Familiarity with medication prior authorization submissions and follow-ups through CoverMyMeds is a strong advantage. - **Medicare & Medicaid Experience: Highly preferred.** Candidates with direct experience handling medication authorizations, eligibility verification, and payer requirements involving Medicare or Medicaid will be prioritized. - **Psychiatry / Behavioral Health Experience: Preferred.** Familiarity with psychiatric medication authorization workflows and behavioral health practice administration is an advantage. - **Administrative Forms Experience: Preferred**. Experience preparing FMLA, short-term disability, return-to-work/school letters, or lab requisitions is beneficial. ### Performance Expectations The ideal candidate should help support: - Timely and accurate processing of medication prior authorizations. - Consistent follow-up on outstanding insurance and authorization requests. - Accurate insurance eligibility, benefit, and copay verification. - Reduced administrative backlog and fewer interruptions to the provider's clinical workflow. - Accurate preparation of clinical templates and administrative paperwork for provider review. - Reliable attendance, daily check-ins, and proactive communication. - Independent completion of assigned tasks after initial practice-specific training. ### 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/C64AD8148D/apply) --- Powered by [Workable](https://www.workable.com)