Medical Virtual Administrative Assistant (US Healthcare)
2+ years experience in high-volume clinical support
Prior Authorization Specialist – Extensive hands-on experience processing PAs using Cover-----------ds, including keying, submitting, following up, and resolving requests for medications (GLP-1s, specialty drugs, etc.)
Insurance Verification – Verifies patient eligibility, benefits, and coverage for Medicare and commercial plans (Aetna, Cigna, BCBS, UnitedHealthcare, etc.)
End-to-End PA Workflow – Handles submissions, status checks, appeals, and coordination with payors, providers, and pharmacies
EHR/EMR Systems – Experienced in internal systems with working knowledge of platforms like eClinicalWorks for documentation and patient records
Data Entry & Documentation – Accurate and efficient input of patient demographics, clinical data, and insurance details
Patient & Provider Communication – Coordinates with clinics, insurance reps, and pharmacies to ensure timely approvals and continuity of care
HIPAA Compliance – Maintains strict confidentiality and follows US healthcare data privacy standards
High-Volume Environment – Proven ability to manage multiple cases, meet deadlines, and stay organized under pressure
