We are seeking an experienced and highly organized Medical Virtual Assistant to support a growing medical practice with prior authorizations, prescription refill coordination, patient scheduling, telephone encounters, and basic claims follow-up.
This role will work closely with the clinic's existing virtual assistant, front-desk staff, providers, and office manager to ensure patient requests are addressed promptly and administrative tasks are completed accurately.
The ideal candidate has experience working in a U.S. medical practice, understands how to manage patient messages and insurance-related tasks, and can confidently prioritize multiple responsibilities without allowing requests to remain unresolved.
This is a blended front-desk and back-office support position. It is not a full medical billing or coding role.
Key Responsibilities
Prior Authorizations
Gather required patient, insurance, and clinical information for authorization requests.
Submit prior authorizations through payer portals, phone, fax, or other approved methods.
Track pending requests, follow up with insurance companies, and escalate delays or denials.
Prescription Refill Coordination
Review refill requests received through calls, messages, and telephone encounters.
Confirm required information and route requests to the appropriate provider for approval.
Follow up on pending requests and communicate status updates to patients.
Appointment Scheduling and Patient Calls
Schedule, reschedule, and confirm appointments for new and existing patients.
Answer and return calls related to appointments, refills, referrals, and authorizations.
Contact patients for follow-up, missing information, or appointment coordination.
Message and Telephone Encounter Management
Review voicemail, AI-generated messages, and assigned telephone encounters in eClinicalWorks.
Respond to routine requests or route them to the appropriate clinic team member.
Monitor open messages to ensure they are completed, documented, or escalated promptly.
Claims and Appeals Support
Review assigned returned, rejected, or pending claims.
Submit requested medical records, corrected information, or supporting documentation.
Assist with straightforward claim resubmissions, basic appeals, and payer follow-up.
Documentation and Escalation
Document patient, provider, and insurance communication accurately in the appropriate system.
Escalate urgent, clinical, or complex concerns to the provider or office manager.
Team and Administrative Support
Work closely with the existing virtual assistant, providers, and onsite clinic staff.
Provide updates on assigned, pending, and completed responsibilities.
Support additional administrative tasks as clinic workflows and operational needs evolve.
Required Qualifications
At least one year of experience as a Medical Virtual Assistant, Medical Administrative Assistant, Patient Coordinator, or similar healthcare support professional.
Experience working with a U.S.-based medical practice.
Experience processing or supporting prior authorizations.
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