Remote Medical Administrative Assistant – Prior Authorization & Patient Support

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TYPE OF WORK

Full Time

SALARY

5

HOURS PER WEEK

40

DATE UPDATED

Aug 10, 2026

JOB OVERVIEW

# Remote Medical Administrative Assistant – Prior Authorization & Patient Support

**Ameriton Workforce Solutions** is seeking an experienced **Remote Medical Administrative Assistant** to support a busy medical practice. This role is ideal for someone with strong **prior authorization experience**, excellent English communication skills, and the ability to independently manage patient follow-up, documentation, and insurance workflows.

**Pay:** $5.00/hour
**Schedule:** Full-time, U.S. Pacific Time hours
**Location:** Remote
**Experience:** Prior U.S. medical office experience required

## Primary Responsibilities

This position will be divided across three main areas:

### Patient Recalls & Scheduling

* Make outbound calls to patients who are due for follow-up appointments
* Schedule and confirm appointments
* Document outreach attempts, scheduled appointments, and patient declines
* Maintain accurate recall and follow-up tracking

### Medical Documentation & Results Management

* Receive laboratory, radiology, consultation, and other outside medical records by fax or email
* Upload and correctly categorize documents within the patient's chart
* Identify normal versus potentially urgent or critical results according to office protocols
* Escalate urgent or critical results promptly to the appropriate RN or physician
* Verify patient information carefully before attaching documentation to the medical record

### Prior Authorizations

* Submit and follow up on **prescription and medical/procedure prior authorizations**
* Work with managed-care organizations and commercial/PPO insurance plans
* Experience with plans such as **Aetna, Blue Shield, and similar U.S. insurers** preferred
* Experience with managed-care authorization portals such as **Regal Express** is a plus
* Use **Cover ---------- ds, NaviNet, payer portals, and similar authorization systems**
* Understand how to select and verify appropriate **ICD-10 diagnosis codes** that support medical necessity
* Follow up on pending authorizations within approximately 3 business days
* Track authorization status, turnaround times, insurer contacts, approvals, and denials
* Investigate and help resolve authorization denials rather than simply documenting them

## Required Experience

We are specifically looking for candidates with:

* **2+ years of U.S. medical office or virtual medical assistant experience**
* Strong hands-on **prior authorization experience**
* Experience with both **prescription prior authorizations and medical/procedure authorizations**
* Working knowledge of **ICD-10 coding and medical necessity**
* Experience communicating directly with U.S. insurance companies
* Front desk experience including inbound/outbound patient calls
* Referral and insurance eligibility experience
* Experience determining in-network versus out-of-network status
* Medical document uploading and chart management experience
* Strong HIPAA and PHI awareness
* Excellent organizational and follow-up skills
* Ability to independently maintain tracking logs for outstanding tasks

## Preferred Systems Experience

Experience with any of the following is highly desirable:

* **NextGen**
* Practice Fusion
* SimplePractice
* Cover ---------- ds
* NaviNet
* Regal Express
* Insurance payer portals
* Microsoft Excel

## Ideal Candidate

The strongest candidate will be someone who can communicate clearly with patients and insurance companies, thinks logically when information does not immediately match, and knows how to research and resolve an issue rather than simply passing it along.

You should be comfortable handling situations involving:

* Duplicate or conflicting patient information
* HIPAA authorization questions
* Missing documentation
* Pending insurance determinations
* Prior authorization denials
* Diagnosis-code or medical-necessity issues

Accuracy, judgment, and follow-through are extremely important in this position.

## Technical Requirements

* Reliable Windows computer
* Stable high-speed internet connection
* Ability to work securely through VPN and other practice-required systems
* Quiet professional workspace
* Reliable availability during U.S. Pacific Time business hours

## How to Apply

Please submit:

1. Your **CV/resume**
2. A **short introduction video**
3. A brief description of your prior authorization experience, including:

* Prescription authorizations
* Medical/procedure authorizations
* Insurance plans or portals you have worked with
* EHR systems you have used
* Your experience working with ICD-10 codes for authorization requests

**Please apply only if you have direct prior authorization experience in a U.S. healthcare setting.**

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