Medical VA – Prior Authorization Specialist

Global Medical VA Careers

. Manage the end-to-end prior authorization process for healthcare practitioners.

Posted 10/15/2026contractRemote • PhilippinesJunior💰 ₱590,000 - ₱600,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing the prior authorization process within the healthcare sector, ensuring compliance with HIPAA regulations while effectively communicating with medical providers, patients, and insurance companies. Proficient in utilizing insurance portals and EMR/EHR systems to facilitate patient care access and workflow efficiency.

Highest-signal resume keywords

Prior Authorization ManagementHealthcare BPO ExperienceInsurance Portals FamiliarityEMR/EHR Systems ProficiencyHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization ProcessData EntryMedical TerminologyAuthorization TrackingAppeal Package PreparationPatient Insurance VerificationRecord ManagementClinical Information GatheringTime ManagementAttention to Detail

Soft Skills

Great Work AttitudeWillingness to Go the Extra Mile

Tools & Technologies

Windows 11MacOS VenturaIntel Core i5-6000AMD Ryzen 5USB HeadsetVideo CameraUPS Backup SystemDSL/Fiber Internet Connection

Certifications & Qualifications

HIPAA Certification

Industry Keywords

HealthcarePatient Care AccessRevenue Cycle EfficiencyInsurance CompaniesAuthorization Denials

Tech Stack

Tools & technologies

MacOS

About the role

Key responsibilities & impact

Manage the end-to-end prior authorization process for healthcare practitioners.
Submit, track, and follow up on prior authorization requests.
Manage inbound and outbound calls with healthcare insurance companies to verify authorization requirements, check status updates, and resolve pending or denied requests.
Verify patient healthcare insurance coverage, benefits, and plan requirements before scheduling procedures or submitting authorizations.
Retrieve relevant medical history, clinical notes, and diagnostic reports.
Act as the primary point of contact between medical providers, patients, and payors.
Identify reasons for authorization denials, gather missing clinical information, and prepare basic appeal packages under healthcare provider direction.
Provide back-office support including data entry, email management, authorization tracking log maintenance, and record management.
Ensure timely approvals for procedures, medications, diagnostic testing, and specialist referrals.
Support patient care access, practice workflow, and revenue cycle efficiency.

Requirements

What you’ll need

Minimum of 6 months to 1 year of prior authorization or healthcare BPO experience handling US healthcare accounts.
Strong familiarity with insurance portals, EMR/EHR systems, and medical terminology.
HIPAA Certification is a plus
Excellent time management
Strong attention to detail
Computer savvy
Great work attitude and willingness to go the extra mile
Open to working night shifts
Primary computer: Intel Core i5-6000 (6th Gen or higher) or AMD Ryzen 5 or higher
Primary computer memory/RAM: 8.00 GB
Primary operating system: at least Windows 11 64-bit or macOS Ventura
USB headset with noise-cancelling feature
Camera capable of clear and crisp video output
Required backup system or UPS capable of supporting the workstation for at least 3 hours; typically 240Wh or higher
UPS must accept all plugs required for the primary device and work environment
Primary DSL/fiber internet connection with minimum 100mb/s contracted
Backup internet connection with minimum 20mb/s (cell)
Must adhere to HIPAA regulations and maintain confidentiality of patient data, insurance details, and communications

Benefits

Comp & perks

Starting rate is $800 (USD) monthly
Free Training
Paid Time Offs
HMO Coverage
Optical Rewards
Performance-Based Increase
Permanent Work From Home