Medical Virtual Assistant Claims Management, Prior Authorization & Referrals

Job Title: Medical Virtual Assistant (Claims Management, Prior Authorization & Referrals)

Position type: Part-Time

Work hours: Between 9:00 AM – 5:00 PM EDT

Work days: Monday to Friday

Salary: $5.00 – $6.00 per hour (depending on experience)

Job code: DD-KaydiumTS

Workplace: Remote

Preferred Candidate Location: Philippines

Scope of Work/Responsibilities

We are seeking a proactive and detail-oriented Medical Virtual Assistant to support a growing therapy practice. This role is ideal for someone with healthcare administrative experience who can independently manage referrals, prior authorizations, claims follow-up, scheduling, and client communication while maintaining HIPAA compliance.

We are looking for a results-driven professional who takes initiative, follows through on tasks, and helps ensure clients receive timely access to services.

Intake & Referral Management

• Process new client inquiries and referrals through the intake process.
• Contact prospective clients within 24–48 hours of receiving inquiries.
• Complete intake processing within 7–10 days.
• Coordinate with referral sources and maintain ongoing communication.
• Manage referrals from sources such as Psychology Today and healthcare providers.

Prior Authorization & Claims Management

• Submit and manage Medicaid prior authorizations.
• Follow up on denied claims and resolve billing issues.
• Track authorization status and ensure timely approvals.
• Communicate with insurance companies regarding claim status and requirements.

Billing Accuracy & Insurance Verification

• Verify client insurance information and benefits.
• Ensure claims are set up correctly and submitted accurately.
• Review billing information for completeness and accuracy.
• Work with commercial insurance platforms, including Blue Cross Blue Shield and other payers.

Client Communication & Scheduling

• Serve as a virtual receptionist by answering and managing inbound calls.
• Make outbound calls to prospective clients and referral sources.
• Schedule appointments and send appointment reminders.
• Assist with payment collection and account follow-up when necessary.
• Provide exceptional customer service to clients and stakeholders.

Administrative Support

• Perform data entry and maintain accurate records.
• Manage workflows and task tracking using Trello.
• Update client information within SimplePractice EHR.
• Assist with general administrative and operational support tasks.
• Work independently while meeting established performance goals.

Requirements

• Experience in healthcare administration, medical virtual assista