Healthcare Prior Authorization, Insurance Verification Virtual Assistant

Winning Assistants LLC

Healthcare Virtual Assistant supporting busy vascular surgery practice with prior authorizations and insurance verification tasks.

Posted 6/1/2026full-timeRemote • 🇵🇭 PhilippinesMid-LevelSenior💰 $5 - $6 per hourWebsite

Tech Stack

Tools & technologies

VoIP

About the role

Key responsibilities & impact

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
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, and out-of-pocket expenses
Assist with patient billing inquiries and insurance-related questions
Process and follow up on medical record requests
Ensure imaging reports, laboratory results, and medical records are received before appointments
Review clinical notes and extract relevant information for authorizations
Maintain accurate documentation within the EHR/EMR system
Monitor internal communications and respond to authorization-related requests in real time
Follow up on billing claims and insurance issues
Manage documentation related to referrals, insurance, billing, and patient records
Provide administrative support for healthcare operations and scheduling workflows
CGM EMD (CompuGroup Medical EMD)
Microsoft Teams
SIP Trunk VoIP System
Sangoma Digium App

Requirements

What you’ll need

Extensive experience with prior authorizations is required
Extensive experience with insurance verification and benefits verification is required
Experience managing HMO referrals and authorization workflows is required
Strong understanding of CPT codes and medical billing processes is required
Experience working with U.S. healthcare practices is required
Healthcare administrative experience is required
Experience with vascular surgery, specialty care, or radiology authorizations is highly preferred
Previous virtual assistant experience preferred but not required
Required Skills
Strong understanding of prior authorization processes
Experience handling radiology authorizations (CT, MRI, MRA, CTA, Ultrasound)
Ability to review clinical notes and gather supporting documentation
Experience with patient estimates and insurance benefit verification
Strong documentation and record management skills
Proficiency with EHR/EMR systems
Strong critical thinking and problem-solving abilities
Excellent organizational and time management skills
Ability to manage multiple authorization requests simultaneously
Strong communication skills with insurance companies, providers, nurses, and patients
Ability to work independently with minimal supervision
Strong sense of urgency and follow-through
Preferred Qualities
Highly detail-oriented and accurate
Proactive and resourceful
Professional and dependable
Comfortable in a fast-paced healthcare environment
Quick learner who can adapt to new systems and workflows
Takes ownership of tasks and follows through to resolution
Deal Breakers
No prior authorization experience
No insurance verification experience
No experience with HMO referrals
Weak understanding of CPT codes and medical billing processes
No experience working with U.S. healthcare practices
Poor attention to detail
Inability to manage multiple requests simultaneously
Lack of responsiveness during work hours
Failure to comply with HIPAA, security, antivirus, or VPN requirements
Basic requirements
Must be proficient in speaking and writing English very clearly
Must have relevant work experience
Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory]
Must be available for video meetings with your camera on (when needed)
Technical requirements
Device: Reliable laptop or desktop computer.
Internet: High-speed connection (minimum 25 Mbps).
Audio: Noise-canceling headset.
Video: Webcam for virtual meetings.
Workspace: Quiet, professional environment.

Benefits

Comp & perks

Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

prior authorizationsinsurance verificationCPT codesmedical billing processesradiology authorizationsEHR systemsEMR systemspatient estimatesdocumentation managementauthorization workflows

Soft Skills

communication skillsorganizational skillstime managementcritical thinkingproblem-solvingattention to detailindependenceproactivityresourcefulnessurgency

Certifications

NBI clearanceLocal Police Clearance