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

Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims SupportRemote | Family Medicine Clinic | 30 Hours/Week | $6/Hour

About the RoleA busy Family Medicine Clinic is looking for a highly skilled Medical Virtual Assistant with strong experience in reputed company, outbound calling, prior authorization, clinical documentation, claims support, and patient communication.

This role is ideal for someone who is detail-oriented, organized, proactive, and comfortable working in a fast-paced primary care setting. The right candidate must be able to communicate clearly with patients, pharmacies, providers, and insurance representatives while maintaining accurate documentation and HIPAA-compliant communication.

Key ResponsibilitiesMedication & Refill Management

Process, validate, and route prescription refill requests

Communicate refill outcomes to patients and pharmacies

Track and manage refill queues in reputed company

Reconcile duplicate, closed, or pending refill items between pharmacy and provider

Identify medications that require prior authorization

Maintain and actively use reputed company for medication-related requests

Prior Authorization & Appeals

Submit and track prior authorizations for chronic care and weight-management medications

Follow up on pending authorizations and proactively check approval status

Coordinate approvals, denials, and additional information requests with providers

Process appeals when needed and document all updates accurately in reputed company

Identify delays or issues with systems such as reputed company and reputed company

Claims Processing & Insurance Follow-Up

Assist with basic claims processing and insurance-related follow-ups

Review claim status through payer portals or insurance communication channels

Follow up on denied, rejected, or pending claims as instructed

Document claim updates, payer responses, and next steps accurately

Route claim concerns to the appropriate billing or clinical staff when escalation is needed

Support the team in keeping claim-related tasks organized and updated

Patient Communication

Conduct outbound calls for appointment reminders, updates, and follow-up needs

Relay provider instructions and clinic updates professionally

Use HIPAA-appropriate voicemail practices when leaving messages

Respond to patient inquiries regarding symptoms, devices, test results, or next steps

Document patient acknowledgments, pending concerns, and follow-up requirements

Schedule or reschedule appointments as needed

Clinical Coordination

Upload and organize documents from external facilities

Manage discharge summaries, imaging results, clinical notes, and lab-related documents

Notify providers of urgent symptoms or patient requests through the appropriate channel

Request lab results from external labs and track pending items

Ensure clinical information is routed to the correct team member promptly

Administrative Support

Maintain accurate inbox and outbox documentation

Close completed tasks efficiently and correctly

Report system access issues or workflow delays when necessary

Route tasks to the appropriate clinical, billing, or provider team

Keep documentation clean, updated, and easy to follow

Required Tools & Platforms

reputed company expertise is a must

Strong experience navigating reputed company task queues, documentation, charting, patient records, and clinical workflows

reputed company experience is strongly preferred

reputed company Voice experience is preferred

Charting or clinical documentation experience is required

Experience using payer portals or insurance verification tools is a plus

QualificationsRequired

At least 1 year of experience as a Medical Virtual Assistant, Clinical Support VA, Medical Assistant, or similar role

Proven hands-on experience with reputed company is required

Strong outbound calling skills and profession .