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Medical Virtual Assistant – Hospice Intake, Insurance Verification, Billing Support

Sobre el puesto

• Manage inbound and outbound patient intake workflows
• Coordinate incoming patient referrals and enter referral information accurately
• Collect, review, and document new-patient intake information
• Follow up on missing referral or intake documentation
• Maintain accurate patient and referral records
• Coordinate with internal team members regarding referrals and patient needs
• Verify patient insurance eligibility, benefits, coverage, and Medicare information
• Identify and resolve missing, inactive, or incorrect insurance information
• Document insurance verification results
• Assist with prior authorization submission, tracking, follow-up, and resolution
• Support medical billing and claims-related workflows
• Review denied claims and investigate authorization, patient-information, and insurance issues
• Resolve outstanding claims and claim holds
• Maintain billing and authorization documentation
• Provide back-office administrative support
• Manage healthcare documentation and faxes
• Monitor and process orders and assigned administrative tasks
• Provide patient phone support and respond to inquiries
• Assist with scheduling requests and route patients appropriately
• Coordinate with clinical and administrative staff for timely follow-through
• Meet KPIs for accurate and timely intakes, referrals, insurance verification, documentation, follow-up, authorizations, billing tasks, administrative work, and patient inquiry handling

• Previous 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
• Hospice or hospice care setting experience highly preferred
• MatrixCare / Matrix experience highly preferred
• Athena EHR / athenahealth experience highly preferred
• Prior authorization experience highly preferred
• Medical billing, claims processing, denied claims, or claims resolution experience highly preferred
• Medicare primary status verification experience highly preferred
• Experience supporting elderly, geriatric, palliative care, home health, or home-based patients highly preferred
• Must speak and write English clearly and professionally
• Must have relevant work experience
• Must provide an NBI Clearance and/or Local Police Clearance before onboarding
• Must be available to attend video meetings with camera on when required
• Reliable laptop or desktop computer
• Stable high-speed internet connection of at least 25 Mbps
• Noise-canceling headset
• Working webcam
• Quiet and professional work environment

• Dedicated HR & Contractor Support Team
• Premium VPN Access (Optional)
• HIPAA & Cybersecurity Training + Certification (Provided)
• Top 1% VA Performance Training
• Client-Approved U.S. Holidays
• Client-Approved Paid or Unpaid Time Off; paid time off is optional and only if offered by the client
• Access to Tools & Resources, including templates, workflow guides, productivity tools, and client-specific SOP support
• Optional performance-based bonuses, incentives, or increased hours based on performance