Healthcare VA -- Dermatology Prior Authorizations, Accutane/iPledge & Pathology Results

Please login or register as jobseeker to apply for this job.

TYPE OF WORK

Full Time

SALARY

1000/month

HOURS PER WEEK

40

DATE UPDATED

Oct 17, 2026

JOB OVERVIEW

TYPE / HOURS: Full-time. Must work US Eastern business hours (approx. 9:00 AM - 5:00 PM ET) -- you'll be on the phone/portals with US insurers and pharmacies during their business hours. This is an evening/overnight shift in the Philippines; please only apply if that works for you long-term.

ABOUT US:
We're a growing dermatology practice in South Florida. We need a specialist who already knows three specific derm-office workflows cold:
1. Prior authorizations -- getting biologics, topicals, and other meds approved with insurance (CoverMyMeds, payer portals, appeals on denials).
2. Accutane / isotretinoin (iPledge REMS) -- tracking monthly labs and pregnancy-test windows, entering/confirming patients in the iPledge system, coordinating with pharmacies so prescriptions are only released when a patient is actually compliant. This is federally regulated and our prescriber is personally liable for it -- there is zero room for shortcuts.
3. Pathology / biopsy result tracking -- making sure every biopsy gets a result, every patient with a result gets contacted per protocol, and anything urgent (e.g., melanoma) is flagged to the provider immediately, not sat on.

WHAT YOU'LL DO:
- Submit and follow up on prior authorizations; work denials and appeals to resolution.
- Run the iPledge/Accutane compliance checklist for every isotretinoin patient -- labs current, pregnancy test in window, confirmation entered -- before any prescription is released.
- Track pathology results against every biopsy performed; log results, contact patients per protocol, and escalate anything urgent to the provider the same day.
- Coordinate with pharmacies and insurers by phone and message.
- Document everything accurately; keep all patient information strictly confidential.

WHO WE'RE LOOKING FOR (THIS MATTERS MOST):
- Real, hands-on derm-office experience in all three lanes above -- prior auths, Accutane/iPledge, and pathology/biopsy tracking. Tell us the systems you've used (iPledge, CoverMyMeds, EMA/ModMed, or similar) and give specific examples. General VA or unrelated medical-admin experience does not meet this bar -- please don't apply without this specific background.
- Common sense, maturity, and the ability to work independently -- you catch your own mistakes, you never guess on anything regulatory or clinical, and you escalate the right things immediately.
- Meticulous and deadline-driven -- a missed lab window or a sat-on path result is a real patient safety issue, not just an inconvenience.
- Excellent spoken and written English.

REQUIREMENTS: Reliable high-speed internet, a quiet place to take calls, a working headset.

TO APPLY: Start your message with the exact phrase "Let's get it cleared!" (this is how we know you read the whole post). Then (1) attach your CV/resume -- name the specific systems you've used for prior auths, iPledge/Accutane, and pathology tracking -- and (2) in 2-3 sentences, tell me about a time you caught a serious error on your own, with no one available to ask for help -- what happened and what you did. Applications that skip the phrase, the CV, or the specific systems won't be reviewed.

SKILL REQUIREMENT
Healthcare Medical Billing Prior Authorization
VIEW OTHER JOB POSTS FROM:
SHARE THIS POST
facebook linkedin
  BENCHMARKS  
Loading Time: Base Classes  0.0010
Controller Execution Time ( Jobseekers / Job )  0.0297
Total Execution Time  0.0315
  GET DATA  
No GET data exists
  MEMORY USAGE  
1,505,368 bytes
  POST DATA  
No POST data exists
  URI STRING  
jobseekers/job/Healthcare-VA-Dermatology-Prior-Authorizations-AccutaneiPledge-Pathology-Results-1751354
  CLASS/METHOD  
jobseekers/job
  DATABASE:  onlinejobs (Jobseekers:$db)   QUERIES: 13 (0.0177 seconds)  (Hide)
0.0004   SELECT *
                                FROM exrates
                                WHERE rate_name = 'USD-PHP' 
0.0004   SELECT *
FROM `employer_jobs`
WHERE `job_id` = 1751354
 LIMIT 1 
0.0004   SELECT *
FROM `employers`
WHERE `employer_id` = 769856
 LIMIT 1 
0.0004   SELECT COUNT(*) AS `numrows`
FROM `t_thread` `t`
LEFT JOIN `t_thread_misc` `misc` ON `t`.`id` = `misc`.`thread_id`
WHERE `t`.`job_id` = 1751354
AND `misc`.`id` IS NULL 
0.0005   SELECT e.business_name, e.logo, e.website, e.rebill_date, e.date_added member_date, hits, DATEDIFF('2026-10-18',ej.date_added) duration_days, DATEDIFF('2026-10-18',e.rebill_date) duration_rebill, ej.*, e.deactivate FROM employers e, employer_jobs ej WHERE e.employer_id = ej.employer_id AND
                                   ((e.user_level >= '500' AND ej.date_added <= e.rebill_date)
                                   OR e.employer_id = '' OR (ej.date_approved <> '2000-01-01' and DATEDIFF('2026-10-18',ej.date_added) <= 14 ))
                                   AND e.deactivate != 1 AND ej.deleted = 0 AND job_id = '1751354' 
0.0003   SELECT *
FROM `employer_jobs_skills` `ejs`
LEFT JOIN `skills_categories` `sc` ON `ejs`.`skill_id` = `sc`.`id`
WHERE `job_id` = 1751354 
0.0011   UPDATE employer_jobs SET hit_counts = '***Oct-17-2026=927***Oct-18-2026=7' WHERE job_id= '1751354'  
0.0018   UPDATE employer_jobs SET monthly_hits = '***Oct-2026=934' WHERE job_id= '1751354'  
0.0010   SELECT date_sent FROM jobseeker_sent_emails WHERE jobseeker_id = '' AND job_id = '1751354' AND status LIKE 'sent%' ORDER BY id DESC  
0.0004   SELECT *
FROM `employer_jobs_skills` `ejs`
LEFT JOIN `skills_categories` `sc` ON `ejs`.`skill_id` = `sc`.`id`
WHERE `job_id` = 1751354 
0.0086   SELECT COUNT(*) AS `numrows`
FROM `employer_jobs`
WHERE `employer_id` = '769856'
AND `date_added` >= '2022-06-08' 
0.0011   select * from teasers 
0.0013   SELECT * FROM skill_categories WHERE skill_cat_id='' 
  HTTP HEADERS  (Show)
  SESSION DATA  (Show)
  CONFIG VARIABLES  (Show)