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Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims Su at Go Lean Healthcare
Manila, Metro Manila, Philippines - Full Time
Skills Needed
Athena, Outbound Calling, Prior Authorization, Claims Support, Clinical Documentation, Patient Communication, Covermymeds, Hipaa Compliance, Medication Management, Insurance Follow Up, Google Voice, Task Management, Medical Charting, Appointment Scheduling, Clinical Coordination, Payer Portals
Specialization
Requires at least 1 year of experience as a Medical Virtual Assistant with mandatory expertise in Athena. Must possess strong professional communication skills and experience with prior authorizations and claims follow-up.
Medical Insurance Coordinator at Thumbay Healthcare
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Medical Secretary at Ramsay Health Care
Melbourne, Victoria, Australia - Full Time
Skills Needed
Customer Service, Medical Administration, Multi Tasking, Interpersonal Skills, Microsoft Office, Medical Terminology, Data Entry, Billing, Banking, Diary Management, Communication Skills, Patient Coordination
Specialization
Requires an enthusiastic individual with strong communication skills and computer literacy in Microsoft Office. A minimum of 2 years of medical administrative experience and knowledge of medical terminology or Zedmed is highly desired.
Experience Required
Minimum 2 year(s)
Physiotherapist at Ramsay Health Care
Greenslopes, Queensland, Australia - Full Time
Skills Needed
Physiotherapy Assessment, Treatment Planning, Discharge Planning, Clinical Skillset, Customer Focused Service, Communication Skills, Multidisciplinary Teamwork, Patient Care, Interpersonal Skills, Written Communication, Verbal Communication
Specialization
Candidates must hold a tertiary degree in Physiotherapy, have current AHPRA registration, and possess at least two years of experience. Strong clinical skills and the ability to work in a fast-paced hospital environment are essential.
Experience Required
Minimum 2 year(s)
Building Services Engineer at Ramsay Health Care
Sydney, Australian Capital Territory, Australia - Full Time
Skills Needed
N/A
Radiographer at Ramsay Health Care
Nedlands, Western Australia, Australia - Full Time
Skills Needed
Angiography, Patient Preparation, Radiation Dose Monitoring, Clinical Support, Interpersonal Skills, Written Communication, Verbal Communication, Ct Scanning, Vascular Procedures, Cardiac Angiograms
Specialization
Must have APHRA registration, relevant radiography qualifications, and PDY AIR accreditation. Experience in angiography and a CT background are highly desirable.
Experience Required
Minimum 2 year(s)
Clinical Implementation Lead at Ramsay Health Care
St Leonards, New South Wales, Australia - Full Time
Skills Needed
Clinical Procurement, Stakeholder Management, Medical Device Knowledge, Sap, Clinical Governance, Change Management, Project Management, Contract Management, Product Evaluation, Healthcare Supply Chain, Leadership, Clinical Product Categorisation
Specialization
Requires a clinical background in nursing or allied health with deep knowledge of medical devices and healthcare procurement. Proven experience in stakeholder management and familiarity with clinical governance is essential.
Experience Required
Minimum 5 year(s)
Clinical Facilitator at Ramsay Health Care
Nambour, Queensland, Australia - Full Time
Skills Needed
Clinical Facilitation, Mentoring, Adult Learning Methods, Time Management, Organizational Skills, Interpersonal Communication, Ms Office, Clinical Education, Student Placement Coordination, Nursing Supervision
Specialization
Requires AHPRA nursing registration and a minimum of 3 years post-registration experience in an acute hospital environment. Experience in clinical education, student placement administration, or nursing teaching is essential.
Experience Required
Minimum 2 year(s)
Resident Medical Officer at Ramsay Health Care
Melbourne, Victoria, Australia - Full Time
Skills Needed
Basic Life Support, Advanced Life Support, Interpersonal Communication, Teamwork, Patient Care, Orthopaedic Care, Clinical Experience
Specialization
Requires general registration with AHPRA and a minimum of three years of clinical experience. Candidates must be competent in basic life support and current in ALS.
Experience Required
Minimum 2 year(s)
Delivery Technician at Aveanna Healthcare
, , - Full Time
Skills Needed
Route Management, Warehouse Operations, Customer Service, Equipment Maintenance, Patient Education, Shipping And Receiving, Documentation, Time Management, Communication Skills, Loading And Unloading
Specialization
Candidates must possess a valid driver's license (Class D or higher) with a clean driving record. Successful completion of a background check and drug screening is also required.
Head Theatre Technician at Ramsay Health Care
Melbourne, Victoria, Australia - Full Time
Skills Needed
Leadership, Mentoring, Surgical Equipment Maintenance, Perioperative Care, Inventory Management, Interpersonal Communication, Technical Support, Operating Theatre Protocols, Clinical Coordination, Troubleshooting
Specialization
Requires a Certificate IV in Operating Theatre Technician Practice or equivalent and proven leadership experience in a perioperative environment. Candidates must possess strong knowledge of surgical instrumentation and be flexible to work a rotating roster.
Experience Required
Minimum 5 year(s)
Physiotherapist at Ramsay Health Care
Nowra, New South Wales, Australia - Full Time
Skills Needed
Physiotherapy Assessment, Treatment Planning, Discharge Planning, Acute Hospital Care, Multidisciplinary Teamwork, Interpersonal Communication, Written Communication, Verbal Communication, Patient Care, Customer Service
Specialization
Requires a tertiary degree in Physiotherapy, current AHPRA registration, and a minimum of two years of experience. Previous experience in an acute hospital setting and strong clinical assessment skills are essential.
Experience Required
Minimum 2 year(s)
Occupational Therapist at Ramsay Health Care
Port Macquarie, New South Wales, Australia - Full Time
Skills Needed
Clinical Reasoning, Clinical Decision Making, Organisational Skills, Time Management, Priority Management, Multidisciplinary Teamwork, Independent Work, Patient Care
Specialization
Requires a Bachelor of Occupational Therapy or equivalent with AHPRA registration. Previous experience in acute or rehabilitation hospital settings is desirable.
Experience Required
Minimum 2 year(s)
Enrolled Nurse - Casual Pool at Ramsay Health Care
Gateshead, New South Wales, Australia - Full Time
Skills Needed
Iv Qualification, Medication Endorsement, Emergency Management, Multidisciplinary Teamwork, Written Communication, Verbal Communication, Adaptability, Organization
Specialization
Must have current AHPRA registration as an Enrolled Nurse with IV qualification and medication endorsement. Requires availability for a variety of shifts and the ability to pass a National Police Check.
Social Worker, Ty Grosvenor at Elysium Healthcare
Wrexham LL11, Wales, United Kingdom - Full Time
Skills Needed
N/A
Qualification
Diploma
Registered Nurse - Surgical at Ramsay Health Care
Noosaville, Queensland, Australia - Full Time
Skills Needed
Clinical Nursing, Patient Care, Written Communication, Verbal Communication, Interpersonal Skills, Teamwork, Patient Safety, Acute Care
Specialization
Must be a Registered Nurse with current AHPRA registration and a minimum of 2 years of acute care experience. Requires a National Police Check and proof of immunisation against infectious diseases.
Experience Required
Minimum 2 year(s)
WHS Coordinator at Ramsay Health Care
Sydney, New South Wales, Australia - Full Time
Skills Needed
Whs Legislation, Risk Management, Incident Investigation, Stakeholder Engagement, Safety Auditing, Policy Development, Safety Reporting, Organizational Skills, Attention To Detail, Communication Skills
Specialization
Requires relevant qualifications or experience in Workplace Health and Safety with strong knowledge of WHS legislation. Candidates must possess excellent communication skills and be able to provide a National Police Check and proof of immunisation.
Experience Required
Minimum 2 year(s)
Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims Su at Go Lean Healthcare
Manila, Metro Manila, Philippines - Full Time
Skills Needed
Athena, Prior Authorization, Claims Support, Outbound Calling, Clinical Documentation, Patient Communication, Covermymeds, Hipaa Compliance, Medication Management, Insurance Follow Up, Google Voice, Medical Charting, Appointment Scheduling, Clinical Coordination, Task Management, Payer Portals
Specialization
Requires at least 1 year of experience as a Medical Virtual Assistant with mandatory expertise in Athena. Must be proficient in outbound calling, prior authorizations, and maintaining HIPAA-compliant documentation.
Bilingual Mental Health Intake & Care Coordinator at Go Lean Healthcare
Ciudad de México, , Mexico - Full Time
Skills Needed
Bilingual English And Spanish, Patient Intake, Care Coordination, Insurance Verification, Medical Scheduling, Healthcare Administration, Patient Screening, Prior Authorization, Medical Billing Support, Professional Communication, Emotional Intelligence, Documentation
Specialization
Requires fluency in English and Spanish with previous experience in healthcare administration or patient intake. Must be proficient in insurance verification and comfortable handling sensitive emotional situations professionally.
Experience Required
Minimum 2 year(s)
Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims Su at Go Lean Healthcare
Manila, Metro Manila, Philippines - Full Time
Skills Needed
Athena, Prior Authorization, Claims Support, Outbound Calling, Clinical Documentation, Patient Communication, Covermymeds, Hipaa Compliance, Medication Management, Insurance Follow Up, Google Voice, Task Management
Specialization
Requires at least 1 year of experience as a Medical Virtual Assistant with mandatory expertise in Athena. Must be proficient in outbound calling, prior authorizations, and maintaining HIPAA-compliant documentation.
Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims Su at Go Lean Healthcare
Manila, Metro Manila, Philippines -
Full Time


Start Date

Immediate

Expiry Date

15 Oct, 26

Salary

6.0

Posted On

17 Jul, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Athena, Outbound Calling, Prior Authorization, Claims Support, Clinical Documentation, Patient Communication, CoverMyMeds, HIPAA Compliance, Medication Management, Insurance Follow-up, Google Voice, Task Management, Medical Charting, Appointment Scheduling, Clinical Coordination, Payer Portals

Industry

Human Resources Services

Description
Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims Support Remote | Family Medicine Clinic | 30 Hours/Week | $6/Hour About the Role A busy Family Medicine Clinic is looking for a highly skilled Medical Virtual Assistant with strong experience in Athena, 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 Responsibilities Medication & Refill Management Process, validate, and route prescription refill requests Communicate refill outcomes to patients and pharmacies Track and manage refill queues in Athena Reconcile duplicate, closed, or pending refill items between pharmacy and provider Identify medications that require prior authorization Maintain and actively use CoverMyMeds 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 Athena Identify delays or issues with systems such as CoverMyMeds and Evicore 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 Athena expertise is a must Strong experience navigating Athena task queues, documentation, charting, patient records, and clinical workflows CoverMyMeds experience is strongly preferred Google Voice experience is preferred Charting or clinical documentation experience is required Experience using payer portals or insurance verification tools is a plus Qualifications Required At least 1 year of experience as a Medical Virtual Assistant, Clinical Support VA, Medical Assistant, or similar role Proven hands-on experience with Athena is required Strong outbound calling skills and professional communication Prior authorization experience Claims processing or insurance follow-up experience Strong documentation accuracy and task management skills Ability to work independently in a fast-paced clinic environment Familiarity with CoverMyMeds Comfortable communicating with patients, pharmacies, providers, and insurance representatives Nice to Have Family Medicine or Primary Care experience Experience handling prior authorizations for chronic care medications Experience with weight-management medication authorizations Experience following up on denied or pending claims Experience requesting records, lab results, imaging results, or discharge summaries Ideal Candidate Profile The ideal candidate is someone who has strong Athena expertise and can confidently manage clinical and administrative workflows inside the system. They should be organized, proactive, and able to take ownership of tasks from start to finish. This person should be comfortable making outbound calls, tracking prior authorizations, supporting claims-related follow-ups, and documenting every update accurately. The role requires someone who is reliable, detail-oriented, and able to support both clinical and administrative workflows with professionalism.

How To Apply:

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Responsibilities
Manage medication refills, prior authorizations, and insurance claims processing using Athena and CoverMyMeds. Handle outbound patient communication and coordinate clinical documentation between providers and external facilities.
Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims Su at Go Lean Healthcare
Manila, Metro Manila, Philippines - Full Time
Skills Needed
Athena, Outbound Calling, Prior Authorization, Claims Support, Clinical Documentation, Patient Communication, Covermymeds, Hipaa Compliance, Medication Management, Insurance Follow Up, Google Voice, Task Management, Medical Charting, Appointment Scheduling, Clinical Coordination, Payer Portals
Specialization
Requires at least 1 year of experience as a Medical Virtual Assistant with mandatory expertise in Athena. Must possess strong professional communication skills and experience with prior authorizations and claims follow-up.
Medical Insurance Coordinator at Thumbay Healthcare
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Medical Secretary at Ramsay Health Care
Melbourne, Victoria, Australia - Full Time
Skills Needed
Customer Service, Medical Administration, Multi Tasking, Interpersonal Skills, Microsoft Office, Medical Terminology, Data Entry, Billing, Banking, Diary Management, Communication Skills, Patient Coordination
Specialization
Requires an enthusiastic individual with strong communication skills and computer literacy in Microsoft Office. A minimum of 2 years of medical administrative experience and knowledge of medical terminology or Zedmed is highly desired.
Experience Required
Minimum 2 year(s)
Physiotherapist at Ramsay Health Care
Greenslopes, Queensland, Australia - Full Time
Skills Needed
Physiotherapy Assessment, Treatment Planning, Discharge Planning, Clinical Skillset, Customer Focused Service, Communication Skills, Multidisciplinary Teamwork, Patient Care, Interpersonal Skills, Written Communication, Verbal Communication
Specialization
Candidates must hold a tertiary degree in Physiotherapy, have current AHPRA registration, and possess at least two years of experience. Strong clinical skills and the ability to work in a fast-paced hospital environment are essential.
Experience Required
Minimum 2 year(s)
Building Services Engineer at Ramsay Health Care
Sydney, Australian Capital Territory, Australia - Full Time
Skills Needed
N/A
Radiographer at Ramsay Health Care
Nedlands, Western Australia, Australia - Full Time
Skills Needed
Angiography, Patient Preparation, Radiation Dose Monitoring, Clinical Support, Interpersonal Skills, Written Communication, Verbal Communication, Ct Scanning, Vascular Procedures, Cardiac Angiograms
Specialization
Must have APHRA registration, relevant radiography qualifications, and PDY AIR accreditation. Experience in angiography and a CT background are highly desirable.
Experience Required
Minimum 2 year(s)
Clinical Implementation Lead at Ramsay Health Care
St Leonards, New South Wales, Australia - Full Time
Skills Needed
Clinical Procurement, Stakeholder Management, Medical Device Knowledge, Sap, Clinical Governance, Change Management, Project Management, Contract Management, Product Evaluation, Healthcare Supply Chain, Leadership, Clinical Product Categorisation
Specialization
Requires a clinical background in nursing or allied health with deep knowledge of medical devices and healthcare procurement. Proven experience in stakeholder management and familiarity with clinical governance is essential.
Experience Required
Minimum 5 year(s)
Clinical Facilitator at Ramsay Health Care
Nambour, Queensland, Australia - Full Time
Skills Needed
Clinical Facilitation, Mentoring, Adult Learning Methods, Time Management, Organizational Skills, Interpersonal Communication, Ms Office, Clinical Education, Student Placement Coordination, Nursing Supervision
Specialization
Requires AHPRA nursing registration and a minimum of 3 years post-registration experience in an acute hospital environment. Experience in clinical education, student placement administration, or nursing teaching is essential.
Experience Required
Minimum 2 year(s)
Resident Medical Officer at Ramsay Health Care
Melbourne, Victoria, Australia - Full Time
Skills Needed
Basic Life Support, Advanced Life Support, Interpersonal Communication, Teamwork, Patient Care, Orthopaedic Care, Clinical Experience
Specialization
Requires general registration with AHPRA and a minimum of three years of clinical experience. Candidates must be competent in basic life support and current in ALS.
Experience Required
Minimum 2 year(s)
Delivery Technician at Aveanna Healthcare
, , - Full Time
Skills Needed
Route Management, Warehouse Operations, Customer Service, Equipment Maintenance, Patient Education, Shipping And Receiving, Documentation, Time Management, Communication Skills, Loading And Unloading
Specialization
Candidates must possess a valid driver's license (Class D or higher) with a clean driving record. Successful completion of a background check and drug screening is also required.
Head Theatre Technician at Ramsay Health Care
Melbourne, Victoria, Australia - Full Time
Skills Needed
Leadership, Mentoring, Surgical Equipment Maintenance, Perioperative Care, Inventory Management, Interpersonal Communication, Technical Support, Operating Theatre Protocols, Clinical Coordination, Troubleshooting
Specialization
Requires a Certificate IV in Operating Theatre Technician Practice or equivalent and proven leadership experience in a perioperative environment. Candidates must possess strong knowledge of surgical instrumentation and be flexible to work a rotating roster.
Experience Required
Minimum 5 year(s)
Physiotherapist at Ramsay Health Care
Nowra, New South Wales, Australia - Full Time
Skills Needed
Physiotherapy Assessment, Treatment Planning, Discharge Planning, Acute Hospital Care, Multidisciplinary Teamwork, Interpersonal Communication, Written Communication, Verbal Communication, Patient Care, Customer Service
Specialization
Requires a tertiary degree in Physiotherapy, current AHPRA registration, and a minimum of two years of experience. Previous experience in an acute hospital setting and strong clinical assessment skills are essential.
Experience Required
Minimum 2 year(s)
Occupational Therapist at Ramsay Health Care
Port Macquarie, New South Wales, Australia - Full Time
Skills Needed
Clinical Reasoning, Clinical Decision Making, Organisational Skills, Time Management, Priority Management, Multidisciplinary Teamwork, Independent Work, Patient Care
Specialization
Requires a Bachelor of Occupational Therapy or equivalent with AHPRA registration. Previous experience in acute or rehabilitation hospital settings is desirable.
Experience Required
Minimum 2 year(s)
Enrolled Nurse - Casual Pool at Ramsay Health Care
Gateshead, New South Wales, Australia - Full Time
Skills Needed
Iv Qualification, Medication Endorsement, Emergency Management, Multidisciplinary Teamwork, Written Communication, Verbal Communication, Adaptability, Organization
Specialization
Must have current AHPRA registration as an Enrolled Nurse with IV qualification and medication endorsement. Requires availability for a variety of shifts and the ability to pass a National Police Check.
Social Worker, Ty Grosvenor at Elysium Healthcare
Wrexham LL11, Wales, United Kingdom - Full Time
Skills Needed
N/A
Qualification
Diploma
Registered Nurse - Surgical at Ramsay Health Care
Noosaville, Queensland, Australia - Full Time
Skills Needed
Clinical Nursing, Patient Care, Written Communication, Verbal Communication, Interpersonal Skills, Teamwork, Patient Safety, Acute Care
Specialization
Must be a Registered Nurse with current AHPRA registration and a minimum of 2 years of acute care experience. Requires a National Police Check and proof of immunisation against infectious diseases.
Experience Required
Minimum 2 year(s)
WHS Coordinator at Ramsay Health Care
Sydney, New South Wales, Australia - Full Time
Skills Needed
Whs Legislation, Risk Management, Incident Investigation, Stakeholder Engagement, Safety Auditing, Policy Development, Safety Reporting, Organizational Skills, Attention To Detail, Communication Skills
Specialization
Requires relevant qualifications or experience in Workplace Health and Safety with strong knowledge of WHS legislation. Candidates must possess excellent communication skills and be able to provide a National Police Check and proof of immunisation.
Experience Required
Minimum 2 year(s)
Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims Su at Go Lean Healthcare
Manila, Metro Manila, Philippines - Full Time
Skills Needed
Athena, Prior Authorization, Claims Support, Outbound Calling, Clinical Documentation, Patient Communication, Covermymeds, Hipaa Compliance, Medication Management, Insurance Follow Up, Google Voice, Medical Charting, Appointment Scheduling, Clinical Coordination, Task Management, Payer Portals
Specialization
Requires at least 1 year of experience as a Medical Virtual Assistant with mandatory expertise in Athena. Must be proficient in outbound calling, prior authorizations, and maintaining HIPAA-compliant documentation.
Bilingual Mental Health Intake & Care Coordinator at Go Lean Healthcare
Ciudad de México, , Mexico - Full Time
Skills Needed
Bilingual English And Spanish, Patient Intake, Care Coordination, Insurance Verification, Medical Scheduling, Healthcare Administration, Patient Screening, Prior Authorization, Medical Billing Support, Professional Communication, Emotional Intelligence, Documentation
Specialization
Requires fluency in English and Spanish with previous experience in healthcare administration or patient intake. Must be proficient in insurance verification and comfortable handling sensitive emotional situations professionally.
Experience Required
Minimum 2 year(s)
Medical Virtual Assistant | Outbound Calls, Prior Authorization & Claims Su at Go Lean Healthcare
Manila, Metro Manila, Philippines - Full Time
Skills Needed
Athena, Prior Authorization, Claims Support, Outbound Calling, Clinical Documentation, Patient Communication, Covermymeds, Hipaa Compliance, Medication Management, Insurance Follow Up, Google Voice, Task Management
Specialization
Requires at least 1 year of experience as a Medical Virtual Assistant with mandatory expertise in Athena. Must be proficient in outbound calling, prior authorizations, and maintaining HIPAA-compliant documentation.
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