Medical Virtual Assistant (Athena Health & Prior Authorization)

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.

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

1. Prior Authorization (PA) Processing (Highest Priority – Non-Negotiable)
2. Remote Patient Monitoring (RPM)
3. 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 (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.