
Virtual Medical Assistant
4 days ago
Job Summary:
We are seeking a
Virtual Medical Assistant (VMA)
with expertise in
Prior Authorization
to support healthcare providers in managing clinical and administrative tasks. The ideal candidate will have a strong background in US healthcare processes, medical documentation, and insurance workflows. A
Pharm-D (Doctor of Pharmacy)
degree is highly preferred.
Key Responsibilities:
- Handle
prior authorization requests
for medications, diagnostics, and medical procedures. - Verify patient insurance coverage
and benefits before processing authorizations. - Review
medical charts, prescriptions, and progress notes
to assess clinical eligibility. - Communicate with
insurance companies, providers, and pharmacies
to ensure timely authorization approvals. - Document and maintain accurate patient information in EMR/EHR systems.
- Follow up on
denied or pending authorizations
, providing required documentation for resubmission. - Ensure all activities comply with
HIPAA
and organizational confidentiality standards. - Stay up-to-date with payer policies, medical coding (CPT, ICD, HCPCS), and authorization procedures.
Qualifications & Skills:
- Education:
Pharm-D or equivalent healthcare-related degree (preferred). - Experience:
1–3 years of experience in Virtual Medical Assistance, Prior Authorization, or RCM. - Strong knowledge of
US healthcare processes
. - Proficiency in using
EHR/EMR systems
(Athena, eClinicalWorks, AdvancedMD, etc.). - Excellent
verbal and written communication skills
(English). - Attention to detail, strong organizational skills, and ability to multitask efficiently.
- Proficient in
MS Office
and general virtual communication tools (Zoom, Teams, etc.).
Preferred Skills:
- Experience with
US insurance verification
and
authorization portals
. - Knowledge of
pharmacy benefits management
and
formulary review
. - Familiarity with
medical billing and coding basics
.
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