Medical Virtual Assistant – Prior Authorization Specialist

Winning Assistants LLC

. Process and follow up on prior authorization requests, particularly for medications.

Posted 10/10/2026part-timeRemote • PhilippinesMid-LevelSenior💰 $10,400 - $12,480 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in processing prior authorization requests and coordinating with insurance companies and pharmacies while maintaining patient confidentiality. Proficient in managing patient communications, scheduling, and administrative tasks in a healthcare setting.

Highest-signal resume keywords

Prior Authorization ExperiencePatient SchedulingHIPAA TrainingCall Handling ExperienceHealthcare Software Navigation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization ProcessingPatient Record ManagementEmail ManagementReferral ProcessingDocumentation Accuracy

Soft Skills

Compassionate CommunicationAttention to DetailOrganizational SkillsProactive AttitudeSelf-Motivation

Tools & Technologies

Charm EHRHealthcare Software

Certifications & Qualifications

HIPAA Certification

Industry Keywords

Behavioral HealthMental HealthHealthcare SettingPatient Confidentiality

About the role

Key responsibilities & impact

Process and follow up on prior authorization requests, particularly for medications.
Coordinate with insurance companies and pharmacies to obtain approvals and resolve authorization issues.
Track pending requests, monitor statuses, and maintain accurate documentation.
Handle incoming and outgoing calls from patients, pharmacies, and insurance representatives.
Respond to patient inquiries professionally and compassionately.
Coordinate pharmacy communications and medication-related requests.
Provide virtual receptionist support and assist with general front-desk inquiries.
Schedule, reschedule, and coordinate patient appointments.
Monitor, organize, and respond to emails.
Process patient referrals and manage incoming and outgoing faxes.
Monitor and respond to patient messages through Charm EHR.
Maintain accurate patient records and support daily administrative operations.

Requirements

What you’ll need

Hands-on prior authorization experience, including processing, tracking, and following up on authorization requests.
Previous experience in a behavioral health, mental health, or general healthcare setting.
Strong inbound and outbound call-handling experience, including patient inquiries and pharmacy coordination.
Experience with patient scheduling, email management, referrals, and medical administrative tasks.
Excellent written and verbal English communication skills.
HIPAA training or certification and strong understanding of patient confidentiality.
Strong attention to detail, organizational skills, and ability to manage multiple tasks accurately.
Tech-savvy and comfortable navigating healthcare software and multiple systems.
Reliable, proactive, self-motivated, and capable of working independently.
Patient, compassionate, and professional patient communication.
Availability for the required 20-hour weekly schedule in Central Time.
Relevant work experience.
Ability to provide an NBI Clearance and/or Local Police Clearance before onboarding.
Availability to attend video meetings with camera on when required.
Reliable computer, minimum 25 Mbps stable high-speed internet, noise-canceling headset, working webcam, and quiet professional workspace.
A medical degree or professional medical license is not required.

Benefits

Comp & perks

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 internal HIPAA compliance training, cybersecurity modules, and certification.
Top 1% VA Performance Training: Proprietary training on communication, client management, productivity systems, and best practices.
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 the 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.
Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on performance.
Reliable laptop or desktop computer, stable high-speed internet connection, noise-canceling headset, working webcam, and quiet professional workspace are required for the role.