Prior Authorization Virtual Assistant

Company: Health Express Clinics, Texas, USA
Location: Remote

Position Overview:

Health Express Clinics is seeking a detail-oriented and proactive Prior Authorization Virtual Assistant to join our growing team. This remote position plays a vital role in supporting physicians and patients by coordinating and submitting insurance prior authorizations for medications, imaging, and procedures. The ideal candidate will have a strong background in medical administration, prior auth processes, and excellent communication and organizational skills.

Responsibilities:

• Coordinate and complete insurance prior authorizations for medications, diagnostic imaging (MRI, CT, ultrasound), and medical procedures.

• Communicate with insurance companies to verify benefits, obtain pre-certification, and resolve authorization issues.

• Review patient charts and clinical documentation to ensure completeness of information required for prior authorization submission.

• Follow up with payers and providers to track the status of submitted authorizations.

• Maintain accurate records of all authorizations in EMR or practice management software.

• Update healthcare providers and patients on the status of their prior authorizations in a timely manner.

• Assist in denial management by identifying causes for rejected authorizations and coordinating appeals if necessary.

• Uphold patient privacy and HIPAA compliance in all communications and data handling.

Qualifications:

• Required: Experience in prior authorization processes within a medical, dental, or insurance setting.

• Familiarity with commercial insurance plans, Medicare, and Medicaid coverage guidelines.

• Strong attention to detail and ability to manage multiple authorization requests simultaneously.

• Excellent verbal and written communication skills.

• Proficiency in electronic medical records (EMRs) or practice management systems.

• Ability to work independently with minimal supervision in a remote work environment.

• Strong organizational and time management skills.

Preferred Qualifications: (Optional – remove if not needed)

• Certification or coursework in medical office administration or billing and coding.

• Experience using eFax, secure messaging, and payer-specific online portals.

• Bilingual in English and Spanish or another commonly spoken language in healthcare.

Technical Requirements:

• Operating System: Windows 10 Pro (32/64-bit) – Genuine

• CPU: Intel Core i5 8th Gen or higher / AMD equivalent

• RAM: Minimum 8GB

• Power Backup: UPS or Generator preferred

• Internet Speed: Minimum 50 Mbps (DSL/Fiber only; LTE not accepted)

• Headset: USB headset with microphone (e.g., Plantronics Audio 628 recommended)

• Webcam: HD 720p/1080p (e.g., A4Tech PK-910H recommended)

• Monitor: External monitor (17", 19", or 22")

Benefits:

• Independent Contractor position

• Compensation: $5/hr (first 3 months), increasing to $6/hr after

• CST/PST/EST work schedule

• HMO provided after 6 months of service

How to Apply:

🚫 DO NOT APPLY IF YOU DO NOT MEET THE TECHNICAL REQUIREMENTS
✅ Submit your updated resume
✅ Include a 1-minute LOOM video for self-introduction