Medical Virtual Assistant (Athena Health & Prior Authorization)

Description Medical Virtual Assistant (Athena Health & Prior Authorization) Medihealth Primary Care Our client is looking for an experienced Medical Virtual Assistant to join our growing team. We are seeking a highly organized, detail-oriented healthcare professional with hands-on Athena Health EMR experience and a strong background in Prior Authorization (PA) processing within a primary care setting . This role is ideal for someone who thrives in a fast-paced environment, can multitask efficiently, and is committed to delivering exceptional administrative and patient support.

Work Schedule

• Position: Part-time
• Schedule: in between 8:00 AM – 5:00 PM Central Time (CST)
• Working Days: Monday – Thursday
• Break: 1-hour unpaid lunch break (12:00 PM – 1:00 PM)

Compensation

• $5.00 – $6.00 USD per hour, depending on experience

Key Responsibilities Priority Responsibilities

• Process Prior Authorizations (PA) for medications, diagnostic tests, imaging, procedures, and specialty services using payer portals and insurance guidelines.
• Manage Remote Patient Monitoring (RPM) workflows by monitoring patient data, documenting updates, escalating abnormal readings, and coordinating with providers as needed.
• Process and coordinate patient referrals, ensuring accurate documentation, insurance compliance, and timely communication with specialists and patients.

Additional Responsibilities

• Contact laboratories to obtain pending patient lab results and ensure timely documentation in Athena Health.
• Perform insurance eligibility and benefits verification across multiple commercial and government insurance plans.
• Run reports within Athena Health EMR to support clinical and administrative workflows.
• Document all patient interactions, authorizations, referrals, and insurance communications accurately within Athena Health.
• Respond to patient inquiries and provide phone support during downtime between Prior Authorization tasks.
• Coordinate with providers, pharmacies, laboratories, and insurance companies to ensure timely patient care.
• Maintain HIPAA compliance and protect patient confidentiality at all times.
• Support general administrative and front-office functions as assigned.

Requirements Required Qualifications

• Experience with Prior Authorization processing is REQUIRED (non-negotiable).
• Hands-on experience using Athena Health EMR is REQUIRED (no training available).
• Previous experience working in a Primary Care clinic is REQUIRED.
• Strong understanding of medical terminology, healthcare workflows, and clinical documentation.

• Experience verifying insurance eligibility and benefits across multiple insurance carriers, including:

• Medicare
• Medicaid
• Humana
• UnitedHealthcare
• Anthem Blue Cross
• Commercial insurance plans
• CoverMyMeds

• Availity

• Experience with Remote Patient Monitoring (RPM) programs.
• Excellent organizational skills with exceptional attention to detail.
• Strong multitasking, problem-solving, and time management abilities.
• Excellent verbal and written English communication skills.
• Ability to work independently in a remote environment while maintaining productivity and accuracy.

Preferred Qualifications

• Registered Nurse (RN) background strongly preferred.
• Clinical experience in a primary care environment.
• Knowledge of Chronic Care Management (CCM) workflows.
• Experience coordinating referrals and managing patient care follow-ups.

Software & Tools

• Athena Health EMR (Required)
• CoverMyMeds
• Availity
• Athena Chat
• Slack
• Salesforce
• WhatsApp
• Skype
• Zoom Meetings
• Google Meet
• Email and phone systems

Top 3 Priorities

• Prior Authorization (PA) Processing (Highest Priority – Non-Negotiable)
• Remote Patient Monitoring (RPM)
• Referral Processing

If you have extensive experience with Athena Health , excel in Prior Authorization processing, and enjoy supporting patient care in a primary care setting , we’d love to hear from you!

Basic Requirements

• Must speak and write English clearly and professionally.
• Must have relevant work experience.
• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
• Must be available to attend video meetings with camera on when required.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: Stable high-speed internet connection (minim…