Prior Authorization Virtual Assistant

Company: Health Express Clinics, Texas, USA

Location: Remote

Position Overview:

Health Express Clinics is seeking a detail-oriented and proactive Prior Authorization Virtual Assistant to join our growing team. This remote position plays a vital role in supporting physicians and patients by coordinating and submitting insurance prior authorizations for medications, imaging, and procedures. The ideal candidate will have a strong background in medical administration, prior auth processes, and excellent communication and organizational skills.

Responsibilities:

• Coordinate and complete insurance prior authorizations for medications, diagnostic imaging (MRI, CT, ultrasound), and medical procedures.
• Communicate with insurance companies to verify benefits, obtain pre-certification, and resolve authorization issues.
• Review patient charts and clinical documentation to ensure completeness of information required for prior authorization submission.
• Follow up with payers and providers to track the status of submitted authorizations.
• Maintain accurate records of all authorizations in EMR or practice management software.
• Update healthcare providers and patients on the status of their prior authorizations in a timely manner.
• Assist in denial management by identifying causes for rejected authorizations and coordinating appeals if necessary.
• Uphold patient privacy and HIPAA compliance in all communications and data handling.
  
  
  

Qualifications:

• Required: Experience in prior authorization processes within a medical, dental, or insurance setting.
• Familiarity with commercial insurance plans, Medicare, and Medicaid coverage guidelines.
• Strong attention to detail and ability to manage multiple authorization requests simultaneously.
• Excellent verbal and written communication skills.
• Proficiency in electronic medical records (EMRs) or practice management systems.
• Ability to work independently with minimal supervision in a remote work environment.
• Strong organizational and time management skills.
  
  
  

Preferred Qualifications: (Optional – remove if not needed)

• Certification or coursework in medical office administration or billing and coding.
• Experience using eFax, secure messaging, and payer-specific online portals.
• Bilingual in English and Spanish or another commonly spoken language in healthcare.
  
  
  

Technical Requirements:

• Operating System: Windows 10 Pro (32/64-bit) – Genuine
• CPU: Intel Core i5 8th Gen or higher / AMD equivalent
• RAM: Minimum 8GB
• Power Backup: UPS or Generator preferred
• Internet Speed: Minimum 50 Mbps (DSL/Fiber only; LTE not accepted)
• Headset: USB headset with microphone (e.g., Plantronics Audio 628 recommended)
• Webcam: HD 720p/1080p (e.g., A4Tech PK-910H recommended)
• Monitor: External monitor (17", 19", or 22")
  
  
  

Benefits:

• Independent Contractor position
• Compensation: $5/hr (first 3 months), increasing to $6/hr after
• CST/PST/EST work schedule
• HMO provided after 6 months of service
  
  
  

How to Apply:

DO NOT APPLY IF YOU DO NOT MEET THE TECHNICAL REQUIREMENTS

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