Someone whose entire job is submitting authorizations, sitting in payer phone queues and chasing decisions, so your clinical staff stop doing it between patients. Imaging, procedures, specialty drugs and DME, handled by someone who has worked US payer policy before.
Certified Virtual Medical Assistant |
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Highly skilled Certified Medical Assistant with over 9 years of experience in remote healthcare operations. She specializes in complex prior authorizations and virtual care coordination, demonstrating expertise in managing digital workflows and telehealth environments. Jenny is bilingual in.
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Highly skilled Certified Medical Assistant with over 9 years of experience in remote healthcare operations. She specializes in complex prior authorizations and virtual care coordination, demonstrating expertise in managing digital workflows and telehealth environments. Jenny is bilingual in.
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Daniela manages prior authorizations from initial submission through approval, gathering clinical documentation, tracking payer portals, following up by phone and escalating urgent or delayed requests.
Prior Authorization
96%
Payer Follow-up
94%
Documentation Accuracy
92%
When a nurse or medical assistant spends part of every day on hold with a payer, you are paying clinical wages for administrative work and losing floor cover at the same time. A dedicated specialist does it faster because it is all they do, and your clinical team stays with patients.
Clinical staff stop spending their day in payer phone queues
Authorizations chased daily rather than when someone remembers
Fewer procedures cancelled or rescheduled for missing approval
Prior experience with US payer policy and appeals
HIPAA training before kick-off, refreshed annually, plus a signed BAA
Full-time from $2,200 a month
Why hire a prior authorization specialist
Delayed authorizations cost twice: the procedure slips, and the slot it was booked into goes unfilled. Practices that give prior auth to one owner rather than sharing it around the clinical team generally see faster turnaround and fewer same-day cancellations, simply because someone is watching every open request instead of nobody watching any of them.
Felipe Carvalho
Medical Virtual Receptionist
Online Rating 4.5
Felipe Carvalho
Medical Virtual Receptionist
Online Rating 4.5
Felipe Carvalho
Virtual Billing & Revenue Cycle Support
Online Rating 4.5
Full US hours overlap
Payer queues are open on US hours, and so is your specialist, a full 9 to 5 on your clock.
Trained and checked
HIPAA training before kick-off, annual refreshers, background checks and a signed BAA.
US payer experience
Only specialists who have worked US payer policy and appeals reach your shortlist.
One monthly rate
From $2,200 a month full-time. No recruitment or placement fee.
What a prior authorization specialist does
Prior authorization is the task everyone in a practice hates and nobody owns. It usually falls to a medical assistant or nurse between patients, which means it is done in fragments, chased inconsistently, and quietly delays care. Giving it to one person changes both the turnaround and who is doing it.
Check whether a service needs authorization before it is scheduled
Submit authorization requests through payer portals, fax and phone
Assemble the clinical documentation each payer policy actually requires
Track every open authorization and chase decisions rather than waiting
Sit in payer phone queues so your clinical staff do not have to
Handle peer-to-peer scheduling when a payer requests one
Appeal denials with the documentation the policy calls for
Monitor expiry dates and re-authorize before treatment lapses
Keep the scheduling team informed so patients are not booked without approval
Specialties
Medical Virtual Receptionists are healthcare professionals who support medical practitioners by managing patient communications, scheduling appointments, and handling administrative tasks. They are vital in ensuring that medical offices run efficiently and provide excellent patient care.
Skills and Qualifications
Medical Virtual Receptionists may have backgrounds in healthcare or administration. While a degree in healthcare is beneficial, it is not mandatory; experience in a medical setting is often sufficient.
Strong organizational and operational skills.
Proficient in professional English communication.
Familiarity with basic medical processes and terminology.
Which specialties, procedures and payers have you handled authorizations for?
The closer their experience is to your specialty and payer mix, the faster they can become productive. Ask about routine requests as well as complex medications, imaging or procedures.
How do you prevent authorization requests from being delayed?
Strong specialists verify requirements early, gather complete clinical documentation, track every request by due date and follow up through payer portals and phone channels before appointments are affected.
How do you handle an urgent request or payer denial?
Look for a documented escalation process that follows payer rules, keeps the clinical team informed and supports reconsideration or appeal without making clinical decisions independently.
How it works
Tell us the workload
A short call to map which services you authorize most, your payer mix, and who is currently doing the chasing.
We build a shortlist
A placement specialist matches candidates who have worked your payers and your service lines, then sends a shortlist worth reading.
Interview and choose
You meet the candidates and make the hire yourself. We handle the in-country contract, payroll and compliance.
Onboard and start
Your specialist starts with HIPAA training complete and a signed BAA in place, taking your open authorization backlog first.
What practices hand off first
Authorization intake
Identify services requiring approval and gather the payer, procedure and patient information needed to begin.
Clinical document collection
Coordinate notes, test results and supporting records required by the payer without delaying submission.
Portal submissions
Enter complete requests through payer portals and document confirmation numbers and expected decisions.
Status tracking
Monitor pending cases by appointment date and payer deadline so requests do not disappear into a queue.
Payer follow-up
Call or message payers for updates, missing requirements and expedited-review options when appropriate.
Denial escalation
Organize denial details and appeal requirements for clinical review without making independent medical decisions.
A remote specialist who owns the authorization process end to end: checking whether a service needs approval, submitting the request with the right clinical documentation, chasing the payer for a decision, appealing denials and tracking expiry dates.
Usually a nurse or medical assistant doing it between patients. That is expensive clinical time spent on hold, and because it is nobody's dedicated job, requests get submitted late and chased inconsistently. Moving it to one owner is the main reason practices see turnaround improve.
No. Your specialist assembles and submits the documentation your clinicians produce, and schedules a peer-to-peer when the payer asks for one. Clinical judgement stays with your clinicians.
Around $2,200 a month full-time. Prior authorization sits above our $1,999 average because payer policy knowledge and appeals experience are specialised. There is no recruitment or placement fee.
Latin America, working your time zone directly on a full 9 to 5 on your clock. That matters here more than almost any other role, because payer phone lines are only open during US business hours and much of this job is spent in those queues.
Yes. Our specialists have worked in the major payer portals alongside practice management systems including Athenahealth, eClinicalWorks, NextGen, Kareo and Tebra. You grant access under your own credentialing policies.
Every specialist completes HIPAA training before starting with a client and takes annual refresher training after that. Each passes a background check and signs a confidentiality agreement, and we execute a Business Associate Agreement with your practice.
Yes. Many practices combine prior authorization with insurance verification and eligibility, since both involve the same payers and the same portals, and the workload often does not justify two full-time roles.
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