Job Title: Pre-Services & Appeals Assistant

 

About the Company:

Our client is a professional services firm specializing in medical claims processing and authorizations. They assist healthcare providers in navigating the complex world of pre-service authorizations, appeals, and post-service appeals. As part of their growing team, they are looking for a highly organized and detail-oriented virtual assistant to support their operations.

 

Job Description:

We are seeking a Pre-Services & Appeals Assistant to work closely with a senior specialist in handling medical pre-service and post-service appeals. This is a remote position that requires strong computer skills, document processing abilities, and a proactive mindset. The selected candidate will be expected to stay connected in Google Meet during work hours to facilitate real-time collaboration and will also be responsible for handling phone calls with clients and suppliers during the shift.

 

Responsibilities:

• Assist with pre-service authorizations for medical claims.

• Handle pre-service and post-service appeals, ensuring accuracy and completeness.

• Merge, edit, and organize narrative reports for claims processing.

• Ensure that all required documentation is submitted by the end of each workday.

• Maintain accuracy and attention to detail when handling medical forms.

• Handle phone calls with clients and suppliers during the shift.

 

Required Experience and Qualifications:

• Strong computer skills, particularly in document merging, formatting, and editing.

• Highly organized and detail-oriented in managing medical records.

 

Preferred Skills:

• Proactive mindset and ability to collaborate effectively in a remote environment.

• Familiarity with medical terminology and claims processing (not mandatory).

 

Personality:

• Proactive and collaborative mindset.

 

Software & Tools:

• Google Meet.

 

English Level:

• C2

 

Schedule:

• 9-5 EST

 

Salary and Benefits:

• Payment in USD or Local Currency according to candidate's preference.