Medical Virtual Assistant, Outbound Calls, Prior Authorization, Claims Support

GoLean Health

Medical Virtual Assistant for Family Medicine Clinic handling outbound calls, prior authorizations, and claims support. Requires strong expertise with Athena and patient communication skills.

Posted 7/6/2026full-timeRemote • 🇵🇭 PhilippinesJunior💰 $6 per hourWebsite

About the role

Key responsibilities & impact

Medication & Refill Management: Process, validate, and route prescription refill requests, communicate refill outcomes, track and manage refill queues in Athena, reconcile refill items, and maintain CoverMyMeds.
Prior Authorization & Appeals: Submit and track prior authorizations, follow up on pending authorizations, coordinate with providers, and document updates in Athena.
Claims Processing & Insurance Follow-Up: Assist with claims processing, review claim statuses, document updates and concerns, and support team organization.
Patient Communication: Conduct outbound calls, respond to inquiries, document concerns, and schedule appointments.
Clinical Coordination: Upload and organize clinical documents, notify providers of urgent symptoms, and request lab results.
Administrative Support: Maintain documentation, report system issues, and organize tasks efficiently.

Requirements

What you’ll need

At least 1 year of experience as a Medical Virtual Assistant, Clinical Support VA, Medical Assistant, or similar role
Proven hands-on experience with Athena is required
Strong outbound calling skills and professional communication
Prior authorization experience
Claims processing or insurance follow-up experience
Strong documentation accuracy and task management skills
Ability to work independently in a fast-paced clinic environment
Familiarity with CoverMyMeds
Comfortable communicating with patients, pharmacies, providers, and insurance representatives

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account GoLean Health Website LinkedIn All Job Openings 1 - 10 employees ⚕️ Healthcare Insurance 👥 HR Tech ☁️ SaaS Healthcare Insurance
HR Tech
SaaS GoLean Health is a company that specializes in providing remote medical assistants and virtual receptionists to healthcare practices. They focus on helping doctors, dentists, veterinarians, chiropractors, and optometrists by connecting them with reliable virtual staff who are HIPAA-trained and skilled in various administrative tasks. By hiring virtual assistants from GoLean, healthcare providers can streamline their operations, improve patient communication, and scale their practices at a reduced cost. Medical Virtual Assistant, Outbound Calls, Prior Authorization, Claims Support 🔥 1 hour ago 🇵🇭 Philippines – Remote 💵 $6 / hour ⏰ Full Time 🟢 Junior 👨‍💼 Executive Assistant 🚫👨‍🎓 No degree required Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Medication & Refill Management: Process, validate, and route prescription refill requests, communicate refill outcomes, track and manage refill queues in Athena, reconcile refill items, and maintain CoverMyMeds.
Prior Authorization & Appeals: Submit and track prior authorizations, follow up on pending authorizations, coordinate with providers, and document updates in Athena.
Claims Processing & Insurance Follow-Up: Assist with claims processing, review claim statuses, document updates and concerns, and support team organization.
Patient Communication: Conduct outbound calls, respond to inquiries, document concerns, and schedule appointments.
Clinical Coordination: Upload and organize clinical documents, notify providers of urgent symptoms, and request lab results.
Administrative Support: Maintain documentation, report system issues, and organize tasks efficiently. 🎯 Requirements
At least 1 year of experience as a Medical Virtual Assistant, Clinical Support VA, Medical Assistant, or similar role
Proven hands-on experience with Athena is required
Strong outbound calling skills and professional communication
Prior authorization experience
Claims processing or insurance follow-up experience
Strong documentation accuracy and task management skills
Ability to work independently in a fast-paced clinic environment
Familiarity with CoverMyMeds
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Applicant Tracking System Keywords

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Hard Skills & Tools

Medication ManagementPrior AuthorizationClaims ProcessingDocumentation AccuracyTask Management

Soft Skills

Professional CommunicationIndependent WorkPatient Communication