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

About the role

A busy Family Medicine Clinic seeks a detail‑oriented Medical Virtual Assistant to handle outbound calls, prior authorizations, claims support, and patient communications. The role is fully remote and supports a fast‑paced primary‑care environment.

Key responsibilities

• Process, validate, and route prescription refill requests; communicate outcomes to patients and pharmacies.
• Identify medications requiring prior authorization and manage requests using CoverMyMeds.
• Submit, track, and appeal prior authorizations for chronic‑care and weight‑management medications.
• Assist with basic claims processing, review claim status via payer portals, and follow up on denied or pending claims.
• Conduct outbound calls for appointment reminders, relay provider instructions, and respond to patient inquiries.
• Upload, organize, and distribute clinical documents such as discharge summaries, imaging results, and lab reports.
• Maintain accurate inbox/outbox documentation, close tasks efficiently, and route issues to the appropriate team.

Required profile

• Highly organized, proactive, and comfortable working in a fast‑paced primary‑care setting.
• Clear communication skills with patients, pharmacies, providers, and insurance representatives.
• Strict adherence to HIPAA‑compliant communication and documentation practices.

Required skills

• Athena (EHR system)
• CoverMyMeds
• Evicore