Job Title: Medical Virtual Assistant – Hospice Intake, Insurance Verification & Billing Support [CA-T]Position Type: Full-timeSchedule: Monday–Friday | 8:00 AM–5:00 PM MST, with a 1-hour unpaid breakPay Rate: $5–$6 USD per hourLocation: Remote – PhilippinesClient Overview & Job SummaryOur client is a U.S.-based healthcare practice seeking an experienced Medical Virtual Assistant to support patient intake, referral coordination, insurance and Medicare verification, and back-office administrative workflows.The ideal candidate has experience supporting a hospice or similar healthcare setting, with MatrixCare experience highly preferred. The role will also assist with prior authorizations, billing and claims-related tasks, patient communication, and general administrative support.This position is ideal for someone who is highly organized, detail-oriented, and comfortable taking ownership of healthcare administrative workflows from initial intake through follow-up and completion.Key ResponsibilitiesPatient Intake & Referral CoordinationManage inbound and outbound patient intake workflows.Coordinate incoming patient referrals and accurately enter referral information into the appropriate system.Collect, review, and document required new-patient intake information.Follow up on missing information or documentation needed to complete referrals and intake.Maintain accurate and up-to-date patient and referral records.Coordinate with internal team members to ensure referrals and patient needs are addressed promptly.Insurance & Medicare VerificationVerify patient insurance eligibility, benefits, and coverage.Confirm valid Medicare information and primary Medicare status.Identify missing, inactive, or incorrect insurance information and assist with resolving discrepancies.Accurately document verification results and relevant insurance information.Follow up as needed to ensure insurance requirements are completed before services are provided.Prior Authorization & Billing SupportAssist with prior authorization requests, including submission, tracking, follow-up, and resolution.Support medical billing and claims-related workflows.Review denied claims and investigate issues such as missing authorizations, incorrect patient information, or insurance discrepancies.Assist with resolving outstanding claims and claim holds.Maintain accurate billing and authorization documentation.Patient & Administrative SupportProvide general back-office administrative support.Manage incoming and outgoing healthcare documentation and faxes as assigned.Monitor and process orders and other assigned administrative tasks.Provide patient phone support and respond to general inquiries.Assist with scheduling requests and route patients to the appropriate team member.Coordinate with clinical and administrative staff to ensure timely follow-through on patient needs.RequirementsMust-HavesPrevious experience as a Medical Virtual Assistant, Healthcare Virtual Assistant, or healthcare administrative professional.Experience managing patient intake and referral coordination.Hands-on experience with insurance eligibility and benefits verification.Experience verifying Medicare information and coverage.Experience supporting healthcare administrative and back-office workflows.Strong spoken and written English communication skills.Comfortable communicating with patients by phone.Strong attention to detail and accuracy when entering patient, referral, and insurance information.Strong organization, follow-through, and ability to manage multiple healthcare administrative tasks.Highly PreferredPrevious experience supporting a hospice organization or hospice care setting.Hands-on experience with MatrixCare / Matrix.Experience with Athena EHR / athenahealth.Experience with prior authorizations.Experience with medical billing, claims processing, denied claims, or claims resolution.Experience verifying Medicare primary status.Experience supporting elderly, geriatric, palliative care, home health, or home-based patients.Key Performance Indicators (KPIs)Performance will be measured based on the accuracy, quality, and timely completion of assigned responsibilities, including:Patient intakes and referrals processed accurately and on time.Insurance eligibility and Medicare information verified accurately.Complete and accurate documentation of new-patient information.Timely follow-up on missing referral, intake, or insurance information.Prior authorizations and assigned billing tasks completed and followed through.Administrative tasks completed within expected timelines.Patient inquiries handled professionally and appropriately.Accurate documentation and consistent follow-through across assigned workflows.Basic RequirementsMust 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 RequirementsComputer: 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.BenefitsDedicated 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.
5 days ago