Prior Authorization Specialist- Ophthalmology Practice

3 days ago

Work from Home, Philippines Staffing For Doctors Full time ₱1,200,000 - ₱2,400,000 per year

We are seeking a detail-oriented and experienced Medical Virtual Assistant (MVA) with a background in ophthalmology and strong expertise in prior authorizations. The ideal candidate will support our ophthalmology practice by managing insurance authorizations, verifying patient benefits, coordinating with payers, and assisting with scheduling and patient communications.

You will play a critical role in ensuring patients receive timely access to specialty treatments and procedures while helping the practice maintain smooth clinical and administrative workflows.

Requirements:

  • Prior Authorizations & Insurance
  • Prepare, submit, and follow up on prior authorization requests for ophthalmology procedures, surgeries, and medications (e.g., cataract surgery, intravitreal injections, specialty medications).
  • Verify insurance eligibility, coverage, and benefits for new and existing patients.
  • Manage insurance company communications, appeals, and denial resolution.
  • Maintain accurate records of all insurance interactions, authorizations, and approvals.


•

  • Practice & Patient Support
  • Coordinate patient appointments, pre-op and post-op scheduling, and diagnostic testing.
  • Communicate authorization status and requirements to patients in a clear and empathetic manner.
  • Provide general administrative support, including chart updates, documentation, and report preparation.
  • Collaborate with physicians, technicians, billing staff, and front office teams to ensure smooth workflows.


•

  • Data & Compliance
  • Use EMR/EHR systems to document authorizations and patient records accurately.
  • Ensure compliance with HIPAA and practice policies in all communications and record handling.

Benefits:

Position: Medical Virtual Assistant

Specialty: Ophthalmology

Focus: Prior Authorizations & Insurance Coordination

Location: Remote (Work From Home)

Employment Type: Full-time / Part-timeCompetitive compensation based on experience.

  • Flexible remote work environment.
  • Opportunity to work with a growing ophthalmology practice.
  • Training and support for continuous professional development.

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