Medical Virtual Assistant – Prior Authorization, Healthcare Administration

About the Role

Winning Assistants LLC is seeking a skilled Medical Virtual Assistant to support healthcare professionals and practices by managing critical administrative workflows. This role is designed for a dedicated professional who will serve as a vital link in ensuring the smooth operation of medical offices, allowing healthcare providers to focus on clinical growth and patient care. The position is fully remote, offering a professional environment for an experienced administrator to contribute to high-quality healthcare support services. The successful candidate will join a team focused on providing top-tier virtual assistance to the healthcare sector, specializing in tasks that improve operational efficiency. The company emphasizes maintaining HIPAA compliance and ensuring the highest standards of professional service. This role is ideal for an individual with a strong background in U.S. healthcare administration who is ready to handle complex documentation, insurance communication, and clerical management in a part-time capacity, working Monday through Friday from 1:00 PM to 5:00 PM Eastern Time.

Requirements

• Candidates must have proven hands-on experience submitting, tracking, and managing U.S. healthcare prior authorizations.
• A strong understanding of insurance authorization requirements, submission procedures, and payer follow-up processes is mandatory.
• Applicants should be familiar with common healthcare workflows, medical terminology, insurance eligibility verification, and general medical billing support.
• The role requires excellent verbal and written English communication skills, along with professional phone etiquette for handling incoming and outbound calls.
• Proficiency with EHR/EMR systems, digital documentation, and online communication tools is essential, as is a high level of computer literacy.
• Successful candidates must be organized, capable of working independently with minimal supervision, and able to manage multiple tasks and deadlines.
• Candidates must be available for video meetings, maintain a quiet and professional work environment, and possess a reliable laptop, high-speed internet, and a noise-canceling headset.
• A valid NBI Clearance or local police clearance is required prior to onboarding.

Responsibilities

• The primary duty of this role involves preparing, submitting, and tracking healthcare prior authorization requests and coordinating with insurance providers regarding submission procedures.
• The assistant will verify patient and provider documentation, follow up on pending authorizations, and monitor determinations to track approvals and denials.
• Beyond authorization management, the assistant will answer, screen, and route incoming calls, and document messages accurately.
• Responsibilities also include assisting with outbound administrative follow-ups, maintaining staff credentialing and training records, and tracking renewal deadlines.
• Furthermore, the role involves verifying patient insurance eligibility and benefits, supporting medical billing tasks, scheduling appointments, and performing general clerical duties.
• The assistant is expected to maintain strict HIPAA compliance at all times while communicating updates effectively to healthcare staff and external contacts.

Benefits & Perks

• The position provides a dedicated HR and contractor support team to assist with operational needs.
• Employees receive comprehensive HIPAA and cybersecurity training and certification, along with performance training consistent with top-tier virtual assistance standards.
• The company offers access to an array of tools and resources, including professional templates, workflow guides, and productivity tools.
• The role includes time off based on client-approved holidays and optional performance-based incentives, bonuses, or increased hours.