Prior Authorization – Billing Specialist

Winning Assistants LLC

. Handle, process, track, and follow up on prior authorization requests .

Posted 10/25/2026full-timeRemote • PhilippinesJunior💰 $10,400 - $12,480 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in medical billing, prior authorization processes, and patient coordination while ensuring HIPAA compliance and maintaining accurate patient records. Proficient in managing patient inquiries and insurance eligibility verification in a remote healthcare environment.

Highest-signal resume keywords

Medical BillingPrior AuthorizationPatient CoordinationInsurance Eligibility VerificationEHR System Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingPrior Authorization ProcessingClaims PreparationInsurance VerificationPrescription Refill WorkflowsPatient Record ManagementMedical Administrative WorkflowsTriageIntakePatient Documentation

Soft Skills

Excellent Communication SkillsStrong Organizational SkillsAttention to DetailAbility to Work IndependentlyEfficient Multi-tasking

Tools & Technologies

Athena EHRVideo Conferencing ToolsNoise-canceling HeadsetWebcamHigh-speed Internet

Certifications & Qualifications

NBI ClearanceLocal Police Clearance

Industry Keywords

Healthcare AdministrationPatient ConfidentialityHIPAA ComplianceMedical Claims ProcessesVirtual Healthcare Environment

About the role

Key responsibilities & impact

Handle, process, track, and follow up on prior authorization requests
Answer and triage incoming patient calls
Gather patient information, address general inquiries, and route concerns to appropriate healthcare personnel
Process prescription refill requests and coordinate with healthcare providers for approval
Monitor pending prescription requests for timely follow-up
Manage end-to-end medical billing, including claims preparation, submission, routing, payment posting, status monitoring, and follow-ups on outstanding or denied claims
Verify patient insurance eligibility, benefits, and coverage manually when insurance information or package selections in Athena EHR require correction
Assist with overflow patient calls during high-volume periods
Maintain accurate patient records, insurance information, authorization statuses, and billing documentation in the practice’s EHR system
Coordinate with healthcare providers, insurance representatives, pharmacies, and internal team members
Ensure accuracy, confidentiality, and HIPAA compliance when handling patient information

Requirements

What you’ll need

At least 1 year of experience in medical virtual assistance, healthcare administration, medical billing, prior authorization, or a similar healthcare-related role
Strong understanding of medical administrative workflows
Willingness to undergo training for practice-specific processes
Experience handling patient calls, triage, intake, and patient coordination
Knowledge of prescription refill workflows, insurance eligibility verification, and medical claims processes
Excellent English communication skills, both written and verbal
Strong organizational skills and attention to detail
Ability to manage multiple responsibilities efficiently
Ability to work independently in a remote healthcare environment while maintaining patient confidentiality
Must speak and write English clearly and professionally
Must have relevant work experience
Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding
Must be available to attend video meetings with camera on when required
Reliable laptop or desktop computer
Stable high-speed internet connection (minimum 25 Mbps)
Noise-canceling headset
Working webcam for virtual meetings
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
Access to Tools & Resources
Optional Performance-Based Incentives
Bonuses, incentives, or increased hours may be offered based on performance