Winning Assistants
Healthcare
HealthcarePriorAuthorization&InsuranceVerificationVirtualAssistant
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Healthcare Prior Authorization & Insurance Verification Virtual Assistant at Winning Assistants. Skills: Prior authorization management, Insurance verification, Referrals management, Patient estimates. Manage prior authorizations. Submit radiology authorizations”
What You'll Achieve.
Timely prior authorization submission; Timely prior authorization approval; Accurate insurance verification; Accurate patient cost estimates; Efficient referral management; Efficient authorization request management; Complete EHR documentation; Accurate EHR documentation; Timely insurance follow-up; Timely medical record follow-up; Responsive to urgent needs
Industry & Context.
Problem-solving abilities; Critical thinking
Reliable laptop/desktop, High-speed internet, Noise-canceling headset, Webcam, Quiet workspace
What They're Looking For.
Must Have
Extensive prior authorizations experience, Extensive insurance verification experience, Manage HMO referrals experience, Understand CPT codes, Understand medical billing processes, Experience with U.S. healthcare practices, Healthcare administrative experience, Proficient in speaking English, Proficient in writing English, Relevant work experience, Submit NBI clearance, Submit Local Police Clearance, Available for video meetings
Nice to Have
Vascular surgery experience, Specialty care experience, Radiology authorizations experience, Previous virtual assistant experience
What You'll Do.
Manage prior authorizations
Submit radiology authorizations
Track radiology authorizations
Monitor authorization requests
Prepare authorization letters
Submit authorization letters
Communicate with insurance companies
Manage TriWest authorizations
Manage Veteran authorizations
Review patient charts
Gather clinical documentation
Collaborate with providers
Collaborate with nurses
Obtain missing clinical information
Verify insurance eligibility
Verify patient benefits
Follow up on referrals
Review clinical notes
Generate patient cost estimates
Verify out-of-pocket expenses
Assist with patient billing inquiries
Assist with insurance questions
Process medical record requests
Follow up on medical records
Ensure imaging reports received
Ensure laboratory results received
Ensure medical records received
Review clinical notes for authorizations
Extract information from notes
Maintain documentation in EHRR
Monitor internal communications
Respond to authorization requests
Follow up on billing claims
Follow up on insurance issues
Manage referral documentation
Manage insurance documentation
Manage billing documentation
Manage patient records documentation
Provide administrative support
Support healthcare operations
Support scheduling workflows
How You'll Work.
Team & Collaboration
Collaborate with providers; Collaborate with nurses; Communicate with insurance companies; Communicate with patients
Communication Scope
Insurance communication; Provider communication; Nurse communication; Patient communication
Full Job Description
**Job Title: Healthcare Prior Authorization & Insurance Verification Virtual Assistant** **Position Type:** Full-Time **Work Hours:** 8:00 AM – 5:00 PM CDT **Work Days:** Monday – Thursday **Salary:** $5 – $6 per hour (depending on experience) **Job Code:** KF-VCPB **Workplace:** Remote **Preferred Candidate Location:** Philippines or Latin America ### ### About the Role We are seeking an experienced Healthcare Virtual Assistant to support a busy vascular surgery practice with prior authorizations, insurance verification, referrals, patient estimates, and medical records coordination. This role requires someone who can work independently, think critically, and manage multiple time-sensitive requests while maintaining accuracy and professionalism. The ideal candidate has extensive experience working with U.S. healthcare practices and is highly skilled in authorization workflows, insurance verification, CPT coding review, and clinical documentation support. ### Core Responsibilities ### Prior Authorization Management (Top Priority) * Manage prior authorizations for vascular surgery procedures * Submit and track radiology authorizations (CT, MRI, MRA, CTA, Ultrasound) * Monitor authorization requests and update CPT codes when procedures change * Prepare and submit authorization letters and supporting documentation * Communicate with insurance companies regarding approvals, denials, modifications, and status updates * Manage TriWest and Veteran authorization requests * Review patient charts and gather supporting clinical documentation for insurance submissions * Collaborate with providers and nurses to obtain missing clinical information ### Insurance Verification, Referrals & Patient Estimates (Top Priority) * Verify insurance eligibility and patient benefits * Handle HMO referrals and referral follow-ups * Review patient notes and identify appropriate CPT codes * Generate patient cost estimates based on CPT codes and insurance coverage * Verify copays, deductibles, an
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