Medical Virtual Assistant – Prior Authorization, Healthcare Administration

Winning Assistants LLC

. Prepare, submit, track, and manage healthcare prior authorization requests .

Posted 11/2/2026part-timeRemote • PhilippinesMid-LevelSenior💰 $6,240 - $7,280 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in managing healthcare prior authorizations, including submission, tracking, and resolution of discrepancies. Proficient in maintaining compliance with HIPAA regulations and ensuring accurate patient documentation and credentialing processes.

Highest-signal resume keywords

Healthcare Prior Authorization ManagementInsurance Authorization RequirementsHIPAA ComplianceEHR/EMR Systems ExperiencePatient Documentation Accuracy

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Prior Authorization SubmissionInsurance Eligibility VerificationMedical Billing SupportCredentialing TrackingDocumentation OrganizationData EntryAdministrative Record MaintenanceProblem-SolvingAttention to DetailTime Management

Soft Skills

Excellent Verbal CommunicationStrong Active ListeningProfessional Phone EtiquetteOrganizational SkillsAdaptability

Tools & Technologies

EHR/EMR SystemsDigital Documentation ToolsSpreadsheetsOnline Communication Tools

Certifications & Qualifications

NBI ClearanceLocal Police Clearance

Industry Keywords

Healthcare AdministrationInsurance ProcessesPatient ConfidentialityHealthcare WorkflowsCredentialing Procedures

About the role

Key responsibilities & impact

Prepare, submit, track, and manage healthcare prior authorization requests
Coordinate with insurance providers regarding authorization requirements and submission procedures
Verify complete and accurate patient, provider, and supporting documentation
Follow up on pending authorization requests and monitor determinations
Track approvals, denials, pending requests, outstanding documentation, authorization numbers, effective dates, and expiration dates
Monitor authorization expiration dates and provide timely reminders
Identify authorization discrepancies or missing requirements and coordinate resolutions
Communicate authorization updates and concerns to healthcare staff
Answer, screen, route, and document incoming calls
Escalate urgent or sensitive concerns according to established procedures
Assist with outbound administrative follow-ups and outreach
Maintain staff credential, certification, and training records
Track renewal deadlines and provide reminders
Update credentialing trackers, spreadsheets, and administrative records
Follow up on missing or incomplete credentialing and training requirements
Assist with confidential HR documentation and compliance-sensitive tracking
Verify patient insurance eligibility, coverage, and benefits
Support medical billing tasks and organize billing records and follow-ups
Conduct community outreach via calls and email
Assist with appointment scheduling and coordination
Support data entry, document organization, and general clerical tasks
Coordinate with internal staff on administrative requests
Maintain HIPAA compliance and patient confidentiality

Requirements

What you’ll need

Proven hands-on experience submitting, tracking, and managing U.S. healthcare prior authorizations (mandatory)
Familiarity with insurance authorization requirements, submission procedures, and payer follow-up processes
Experience monitoring authorization statuses, approval dates, and expiration dates
Ability to identify missing documentation and resolve administrative authorization issues
Strong attention to detail when reviewing authorization requests and supporting records
Ability to maintain organized trackers and follow up on outstanding requests independently
Previous experience supporting U.S.-based healthcare practices or healthcare administrative operations
Familiarity with common healthcare workflows, medical terminology, and insurance-related processes
Understanding of insurance eligibility, benefits verification, and general medical billing support
Experience maintaining accurate patient or administrative records
Knowledge of HIPAA requirements and patient confidentiality
Ability to handle healthcare information professionally and securely
Excellent verbal and written English communication skills (mandatory)
Strong professional phone etiquette and confidence handling incoming and outbound calls
Ability to communicate clearly with patients, insurance representatives, staff members, and external contacts
Strong active listening skills and attention to detail when documenting messages
Ability to screen calls and appropriately route inquiries
Comfortable communicating professionally in a remote healthcare environment
Strong organizational skills and ability to manage multiple tasks and deadlines
Ability to maintain accurate trackers, spreadsheets, and administrative records
Attention to detail when monitoring staff credentials, certifications, and training expiration dates
Ability to provide timely reminders and follow up on outstanding requirements
Comfortable handling confidential administrative and staff information
Ability to learn and follow HR credentialing and compliance-tracking procedures
Experience using EHR/EMR systems or similar healthcare administrative platforms
Strong computer literacy and proficiency with digital documentation, spreadsheets, and online communication tools
Willingness and ability to learn Integrity Checkpoint EHR
Ability to work independently with minimal supervision
Strong problem-solving skills and proactive approach to administrative responsibilities
Excellent time management, multitasking, and prioritization skills
Dependable, adaptable, and committed to completing tasks accurately and on time
Must submit an NBI Clearance and/or Local Police Clearance before onboarding (mandatory)
Must be available for video meetings with camera on when required
Must be available Monday through Friday, 1:00 PM to 5:00 PM Eastern Time
Reliable laptop or desktop computer
Stable high-speed internet connection (minimum 25 Mbps)
Noise-canceling headset
Working webcam
Quiet and professional work environment

Benefits

Comp & perks

Dedicated HR & Contractor Support Team
Premium VPN Access (Optional)
HIPAA & Cybersecurity Training + Certification (Provided)
Top 1% VA Performance Training
Client-Approved U.S. Holidays
Client-Approved Paid or Unpaid Time Off (paid time off is optional and only if offered by the client)
Access to Tools & Resources, including templates, workflow guides, productivity tools, and client-specific SOP support
Optional Performance-Based Incentives, bonuses, or increased hours based on performance