Prior Authorization Specialist- Ophthalmology Practice

1 week 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.

  • Prior Authorization Specialist

    2 weeks ago

    Work from Home, Philippines VirtuAssist Full time ₱11,232 - ₱112,320 per year

    We are seeking a dynamic and results-driven Prior Authorization Specialist to join our team and help drive our growth.Key Responsibilities:Document eligibility, benefit and authorization information in accordance with established guidelinesVerify prior authorizations and/or pre-service requirements are metProvide outstanding customer service to patients and...

  • Prior Authorization Specialist

    5 days ago

    Work from Home, Philippines Uplift Healthcare Solutions Full time ₱480,000 - ₱540,000 per year

    We are seeking skilled professionals with experience in Prior Authorizations for:Vascular LabInpatient EEGs (Electroencephalogram)Position DetailsWork Setup: Permanent Work From HomeShift: Graveyard (CST)Employment Type: Independent ContractorSalary: ₱40,000 – ₱45,000 (depending on experience)Equipment: Desktop providedRequirementsAt least college...

  • Surgical Prior Authorization

    1 week ago

    Work from Home, Philippines The Vein Clinic of Dallas Full time ₱288,000 - ₱432,000 per year

    About UsThe Vein Clinic of Dallas is a leading US-based medical practice specializing in varicose and spider vein treatment. We are committed to delivering excellent, physician-led care and are looking for an experienced Virtual Assistant to join our team.Position OverviewWe are seeking a Virtual Assistant with experience in medical insurance processes,...

  • permanent remote job- pre authorization specialist

    3 days ago

    Work from Home, Philippines Cliniqon LLC Full time ₱250,000 - ₱500,000 per year

    Join Our TeamWe are seeking a highly skilled and detail-oriented Pre-Authorization Specialist to support our growing diagnostic imaging practice. In this critical role, you'll be responsible for obtaining pre-authorizations for MRI, CT, and DTI procedures, verifying insurance benefits, and ensuring patients are informed of their financial...

  • Patient Recall Specialist

    1 week ago

    Work from Home, Philippines Infotech Houston Solutions LLC Full time ₱300,000 - ₱600,000 per year

    OverviewWe are looking for a Patient Recall Specialist to support a Gastroenterology (GI) practice in the U.S. This role is key in helping the clinic stay connected with patients who are due or overdue for their follow-up procedures, ensuring timely scheduling, accurate patient information, and proper authorization processing.You'll be the point of contact...

  • Recognition of Prior Learning

    3 days ago

    Work from Home, Philippines Engineering Institute of Technology Full time ₱288,000 - ₱720,000 per year

    Recognition of Prior Learning (RPL) Assessor – Engineering (Civil, Electrical, Industrial Automation, Mechanical) – Shape the Future of Learning at EITThe Engineering Institute of Technology (EIT) is a growing engineering educational institution. Our head office is in Perth, Western Australia.Are you passionate about education? As our RPL Coordinator,...

  • Medical Support Specialist

    2 weeks ago

    Work from Home, Philippines Sphere Rocket VA Full time ₱250,000 - ₱500,000 per year

    We are seeking a detail-oriented and patient-focused Medical Support Specialist to assist in day-to-day clinical operations, patient communication, and administrative coordination. This role requires strong communication skills, familiarity with medical systems, and experience handling patient data with care and confidentiality.Key ResponsibilitiesCall &...

  • Virtual Medical Assistant – Front Office

    5 days ago

    Work from Home, Philippines Portiva Full time ₱60,000 - ₱65,000 per year

    Portiva started in 2009 with our mission to help Doctors and Medical Practitioners manage their practices better. Since then, Portiva has grown from a 3-person operation to one of the largest and most successful Medical and Dental Staff Providing Companies in the United States.We are seeking a versatile and proactive Medical Virtual Assistant to support...

  • Clinical Intake and Referral Specialist

    1 week ago

    Work from Home, Philippines Frontline Medical Group, LLC Full time ₱336,000 per year

    Position OverviewThe Clinical Intake Specialist serves as the first point of contact for new patients and referral sources, ensuring a smooth and efficient intake process. This role is responsible for gathering essential clinical and administrative information, verifying eligibility, coordinating with healthcare providers, and ensuring compliance with all...

  • Remote Compliance Specialist

    6 days ago

    Work from Home, Philippines FORTA Full time ₱144,000 - ₱600,000 per year

    FORTA'S MISSION:Forta is clearing the path to quality healthcare by delivering the best possible outcomes with the utmost convenience. Access is limited, delivery is fragmented, and families are left waiting. We are reinventing this model to provide early, high-quality access. With 1 in 36 children [CDC, 2023] diagnosed with autism, the need has never been...