Medical Virtual Assistant | Prior Authorization | Claims | Referral | Patient Sc

Review and ensure accuracy and completeness of clinical documentation in EHR systems Coordinate with providers to clarify diagnoses, procedures, and treatment plans Submit and track medical forms, prior authorizations, and referral documentation Facilitate timely submission of disability, FMLA, and medical necessity forms

Familiarity with CPT, ICD-10, and HCPCS coding Strong knowledge of insurance plans and payer guidelines (Medicare, Medicaid, private insurers) Experience with prior authorization processes – for medications, procedures, and diagnostic tests Submitting prior authorization requests – via portals, fax, or phone

Maintaining electronic health records (EHR) Medical Transcription and documentation Organization of medical files and records Familiarity with CPT and ICD-10 codes Medical billing support, EOB review, and claims analysis Insurance verification and benefits coordination Appointment Scheduling & Calendar Management Pre-authorization and Referral coordination Data entry and record management Excellent verbal and written communication Problem-solving and adaptability HIPAA Compliance Provider–Patient Communication Multitasking in Fast-Paced Clinical Settings

Experience with using AthenaHealth, Jane, and AdvancedMD as an EHR Proficiency in understanding of medical terminologies, diagnoses, and procedure codes Understanding of medical charting formats (SOAP, H&P, etc.)

Review and analyze EOBs for accuracy and payment discrepancies Investigate denied, underpaid, or delayed claims and initiate appropriate appeals Monitor aging reports and follow up on outstanding claims Maintain accurate documentation in EHR and billing systems