Virtual Medical Assistant (U.S. Fax Triaging & Prior Authentication Experience Required)

This position is mainly responsible for insurance verification, prior authorizations and fax handling.

Job Responsibilities:

• Answers incoming calls for adding or canceling appointments to provider schedules. Verifies phone number, date of birth and insurance information.
• Completes sign-in of patients documenting arrival time, updating patient demographics and insurance carrier, printing encounter and racking chart.
• Gathers data for patient registration, obtains consent for treatment, insurance and identification cards and files all documentation in medical record.
• Verifies coverage and eligibility on new patients by calling third party payors.
• Communicates with patient about correct co-pays and deductibles with expectation of payment at the time of service.
• Verifies enrollment eligibility and obtains PCP /specialty authorization as needed.
• Processes cancellation and no-show charts according to protocols.
• Verifies and reviews the next day provider schedules for errors in scheduling.
• Prepares and notifies patients of schedule changes according to protocols.
• Updates and distributes provider schedules daily.
• Outreach to providers on their schedules and follow ups for patient scheduling.
• Assists patients with requests for their medical records following release of medical record policy and procedure.
• Follow up on provider credentialing.
• Performs other duties as assigned.
• Responds to Care Team needs; process auth and referrals.
• Update demographics, register patients, and schedule follow-up appointments.
• Communicates with team members and follows directions of Greeter and Facilitator specific to patient process.

Job Qualifications:

• Knowledge of medical office procedures.
• Skill in operating a computer.
• Skill in answering the telephone in a pleasant and helpful manner.
• Ability to work under pressure and still maintain accuracy.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Knowledge of commercial, Medicare, and Medicaid insurance procedures.

Education And Experience:

• Highly proficient in English speaking and writing
• Minimum 1 year work experience, in a US virtual medical office setting.
• Training specific in medical terminology, insurance requirements, customer service is highly desirable.
• Credentialing experience a plus

Big Plus:

• High volume fax triaging
• Prior authorization experience
• Eligibility and benefit verification experience
• Inbound/Outbound Patient Call Handling Experience

Salary:

• Market competitive, based on experience. (Salary typically ranges in 30k-45k PHP)

Shift:

• USA business hours
• Weekend work may be required.

Job Type: Full-time

Pay: Php30,000.00 - Php50,000.00 per month

Application Question(s):

• [MANDATORY ANSWER] What are all the EHR software you have experience using?
• [MANDATORY ANSWER] What is your expected monthly salary in PHP?
• [MANDATORY ANSWER] On average, how many incoming medical faxes did you process and triage per day in your previous role(s)?
• [MANDATORY ANSWER] What software and or payer portals have you used to complete both prior authorizations, and insurance eligibility and benefits verification tasks and how comfortable are you completing these tasks on a scale from 1-10?
• [MANDATORY ANSWER] Do you have experience working in a U.S.-based medical clinic or doctor’s office? If yes, list all medical specialties you have experience with (ex. Pediatrics, Cardiology)

Experience:

• Virtual Medical Assistant: 1 year (Required)

Language:

• English (Required)

Work Location: Remote