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

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-re