Medical Prior Authorization VA

I need a reliable virtual assistant with solid, hands-on experience submitting and tracking prior authorizations for laboratory work. My practice is brand-new, so volume will be light to start—think a handful of cases a week rather than a steady daily stream—but I still want every request handled quickly and correctly.

The focus is 100 % on lab tests and imaging studies : blood panels, urine studies, and genetic testing. imaging approvals will be light right now, though that could change as the clinic grows, so familiarity with radiology authorizations is a plus.

Here’s what the role looks like day to day:
• Gather the medical necessity notes and CPT / ICD-10 codes from our EHR.
• Complete payer-specific PA forms or online submissions.
• Call or message insurers when additional clinical info is requested.
• Track each request’s status, escalating denials when appropriate.
- inform office of patients financial responsibility
• Log outcomes back into the chart so our clinical team is always up to date.

I’m looking for someone at an intermediate level who already knows the typical U.S. insurance workflows, major payer portals, and the language of medical billing. Strong written English and a professional phone manner are essential.

Because hours will ramp up slowly, flexibility is key—you might work only a few hours one week and double that the next. If you’re comfortable growing with a practice and becoming the go-to person for clean, fast approvals, let’s talk.