Healthcare Prior Authorization & Insurance Verification Virtual Assistant

Your Role

Here’s what you will be doing:

  • Manage prior authorizations for vascular surgery procedures and radiology (CT, MRI, MRA, CTA, Ultrasound)
  • Submit, track, and update authorization requests including TriWest and Veteran authorizations
  • Prepare and submit authorization letters with supporting clinical documentation
  • Communicate with insurance companies regarding approvals, denials, and status updates
  • Verify insurance eligibility, patient benefits, copays, deductibles, and out-of-pocket expenses
  • Handle HMO referrals and referral follow-ups
  • Generate patient cost estimates based on CPT codes and insurance coverage
  • Process and follow up on medical record requests, ensuring all necessary reports and records are received before appointments
  • Maintain accurate documentation within the EHR/EMR system and monitor internal communications related to authorizations
  • Provide administrative support including billing claims follow-up and managing documentation related to referrals, insurance, billing, and patient records

About You

The company is looking for:

  • Extensive experience with prior authorizations, insurance verification, and benefits verification
  • Experience managing HMO referrals and authorization workflows
  • Strong understanding of CPT codes and medical billing processes
  • Experience working with U.S. healthcare practices and healthcare administration
  • Preferred experience with vascular surgery, specialty care, or radiology authorizations
  • Strong skills in reviewing clinical notes, gathering supporting documentation, and proficiency with EHR/EMR systems
  • Excellent organizational, time management, critical thinking, and problem-solving abilities
  • Ability to manage multiple authorization requests simultaneously and work independently with minimal supervision
  • Strong communication skills with insurance companies, providers, nurses, and patients
  • Highly detail-oriented, proactive, professional, dependable, and adaptable to fast-paced healthcare environments
  • Must be proficient in clear spoken and written English
  • Must be able to submit background checks and participate in video meetings with camera on when needed

Compensation & Benefits

  • Hourly pay of $5 – $6 depending on experience
  • Dedicated HR and contractor support team for guidance and client communication
  • Optional premium VPN access for enhanced privacy and security
  • Provided HIPAA and cybersecurity training with certification
  • Access to top 1% VA performance training on communication, client management, and productivity
  • Client-approved U.S. holidays off
  • Client-approved paid or unpaid time off, if offered
  • Access to templates, workflow guides, productivity tools, and client-specific SOP support
  • Optional performance-based incentives such as bonuses or increased hours

Technical Requirements

  • Reliable laptop or desktop computer
  • High-speed internet connection (minimum 25 Mbps)
  • Noise-canceling headset
  • Webcam for virtual meetings
  • Quiet, professional workspace
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