Medical Virtual Assistant - Registered Nurse

About The Role We are seeking an experienced Registered Nurse (RN) or Medical Assistant (MA) Virtual Assistant to support a healthcare practice with prior authorizations, referrals, patient communication, medication refills, insurance verification, and administrative coordination.

This role requires a candidate with a strong medical background who understands clinical workflows, insurance processes, and patient care coordination. The ideal candidate will be comfortable communicating with patients, providers, pharmacies, specialists, and insurance companies while maintaining the highest standards of professionalism, accuracy, and HIPAA compliance.

Core Responsibilities Prior Authorizations (Top Priority)

• Submit, track, and follow up on insurance authorization requests
• Coordinate with insurance companies regarding approvals, denials, and required documentation
• Review authorization requirements and ensure all supporting information is submitted
• Monitor pending authorizations and provide status updates to providers and staff

Referrals Management (Top Priority)

• Process and send referrals to specialists and healthcare facilities
• Coordinate referral documentation and follow-up
• Ensure referrals are completed accurately and timely
• Communicate with specialty offices regarding referral status and scheduling

Phone Support & Patient Communication (Top Priority)

• Answer incoming patient phone calls professionally
• Return patient callbacks and follow-up inquiries
• Assist patients with appointment-related concerns and clinical requests

Medication Refills & Clinical Support

• Process electronic medication refill requests

Scheduling & Patient Coordination

• Schedule and reschedule patient appointments
• Send appointment reminders via phone and text

Insurance Verification & Administrative Support

• Verify insurance eligibility and benefits
• Assist with insurance-related inquiries and documentation
• Send and receive required faxes and clinical documents

Software & Systems

• Proprietary Web-Based EHR

Key Performance Indicators (KPIs)

• Timely completion of prior authorizations and referrals
• Reliable availability during business hours
• Efficient turnaround time for insurance and referral requests
• Consistent productivity through time tracking and quality monitoring (One Assistance)

Requirements

• Must be a Registered Nurse (RN) or Medical Assistant (MA)
• Previous healthcare or clinical experience required
• Experience with prior authorizations required
• Experience with referrals and insurance verification required
• Experience handling medication refills preferred
• Previous virtual assistant experience preferred
• HIPAA training and compliance knowledge required

Required Skills Clinical & Healthcare Knowledge

• Strong understanding of medical terminology and healthcare workflows
• Experience working in a medical office, clinic, or healthcare setting
• Knowledge of insurance authorization and referral processes
• Understanding of medication refill procedures
• College graduate with extensive healthcare experience
• College graduate with extensive healthcare experience

Deal Breakers

• No RN or MA credentials
• No healthcare or clinical experience
• No experience with prior authorizations or referrals
• Inability to work during business hours and respond to urgent requests
• Poor professionalism when interacting with patients or providers
• Unreliable attendance or inconsistent communication

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

• 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 c…