Medical VA - Hospice Intake, Insurance Verification & Billing Support

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Job Title: Medical Virtual Assistant – Hospice Intake, Insurance Verification & Billing Support [CA-T] Position Type: Full-time Schedule: Monday–Friday | 8:00 AM–5:00 PM MST, with a 1-hour unpaid break Pay Rate: $5–$6 USD per hour Location: Remote – Philippines Client Overview & Job Summary Our client is a U.S.-based healthcare practice seeking an experienced Medical Virtual Assistant to support patient intake, referral coordination, insurance and Medicare verification, and back-office administrative workflows. The ideal candidate has experience supporting a hospice or similar healthcare setting, with MatrixCare experience highly preferred. The role will also assist with prior authorizations, billing and claims-related tasks, patient communication, and general administrative support. This position is ideal for someone who is highly organized, detail-oriented, and comfortable taking ownership of healthcare administrative workflows from initial intake through follow-up and completion. Key Responsibilities Patient Intake & Referral Coordination • Manage inbound and outbound patient intake workflows. • Coordinate incoming patient referrals and accurately enter referral information into the appropriate system. • Collect, review, and document required new-patient intake information. • Follow up on missing information or documentation needed to complete referrals and intake. • Maintain accurate and up-to-date patient and referral records. • Coordinate with internal team members to ensure referrals and patient needs are addressed promptly. Insurance & Medicare Verification • Verify patient insurance eligibility, benefits, and coverage. • Confirm valid Medicare information and primary Medicare status. • Identify missing, inactive, or incorrect insurance information and assist with resolving discrepancies. • Accurately document verification results and relevant insurance information. • Follow up as needed to ensure insurance requirements are completed before services are provided. Prior Authorization & Billing Support • Assist with prior authorization requests, including submission, tracking, follow-up, and resolution. • Support medical billing and claims-related workflows. • Review denied claims and investigate issues such as missing authorizations, incorrect patient information, or insurance discrepancies. • Assist with resolving outstanding claims and claim holds. • Maintain accurate billing and authorization documentation. Patient & Administrative Support • Provide general back-office administrative support. • Manage incoming and outgoing healthcare documentation and faxes as assigned. • Monitor and process orders and other assigned administrative tasks. • Provide patient phone support and respond to general inquiries. • Assist with scheduling requests and route patients to the appropriate team member. • Coordinate with clinical and administrative staff to ensure timely follow-through on patient needs. Requirements Must-Haves • 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. Highly Preferred • Previous experience supporting a hospice organization or hospice care setting. • Hands-on experience with MatrixCare / Matrix. • Experience with Athena EHR / athenahealth. • Experience with prior authorizations. • Experience with medical billing, claims processing, denied claims, or claims resolution. • Experience verifying Medicare primary status. • Experience supporting elderly, geriatric, palliative care, home health, or home-based patients. Key Performance Indicators (KPIs) Performance will be measured based on the accuracy, quality, and timely completion of assigned responsibilities, including: • Patient intakes and referrals processed accurately and on time. • Insurance eligibility and Medicare information verified accurately. • Complete and accurate documentation of new-patient information. • Timely follow-up on missing referral, intake, or insurance information. • Prior authorizations and assigned billing tasks completed and followed through. • Administrative tasks completed within expected timelines. • Patient inquiries handled professionally and appropriately. • Accurate documentation and consistent follow-through across assigned workflows. Basic Requirements • Must speak and write English clearly and professionally. • Must have relevant work experience. • Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). • Must be available to attend video meetings with camera on when required. Technical Requirements • Computer: Reliable laptop or desktop computer. • Internet: Stable high-speed internet connection (minimum 25 Mbps). • Audio: Noise-canceling headset. • Video: Working webcam for virtual meetings. • Workspace: Quiet and professional work environment. Benefits • Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. • Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. • HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. • Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. • Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. • Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. • Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. • Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance. These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits. Originally posted on Himalayas