Back-End Medical Admin, Insurance Verification & Billing Support
Back-End Medical Admin, Insurance Verification & Billing Support
Remote | Behavioral Health | 30 Hours/Week | $6/Hour
GoLean Health is seeking a detail-oriented Virtual Medical Assistant to support a U.S.-based behavioral health practice with back-end medical administration, insurance verification, patient responsibility collection, claims support, and billing-related workflows.
This role will primarily focus on daily insurance benefits verification, copay/deductible/coinsurance review, patient payment collection, claims follow-up, prior authorization support, and accurate documentation in eClinicalWorks and tracking sheets . The role also includes assisting with new patient calls and intake inquiries when the front desk staff is unavailable.
This is not a coding role. The ideal candidate is a strong healthcare administrative VA with hands-on experience in insurance verification, claims follow-up, patient collections, eClinicalWorks, and payer communication.
Key Responsibilities
Insurance Benefits Verification
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Verify patient insurance benefits daily using eClinicalWorks/eCW, Availity, payer portals, and direct insurance calls.
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Confirm eligibility, active coverage, copays, deductibles, coinsurance, remaining deductible, out-of-pocket responsibility, and network status.
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Check whether telehealth and in-office benefits are the same or different.
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Document insurance call reference numbers and communicate verified patient responsibility to the front desk before appointments.
Patient Collections & Payment Posting
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Contact patients to collect copays, deductibles, coinsurance, and out-of-pocket balances.
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Explain patient responsibility clearly based on verified benefits.
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Post payments, apply credits when appropriate, and update payment notes accurately.
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Escalate unclear balances, disputed amounts, or missing payment information.
Daily Cost Sheet & Tracker Management
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Add scheduled patients to the daily cost sheet or tracker.
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Document how much each patient owes for the visit.
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Track whether the amount due is based on copay, coinsurance, deductible, out-of-pocket balance, or account credit.
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Keep Google Sheets or Excel trackers accurate and updated.
Claims Follow-Up & Billing Support
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Follow up on claim denials, rejections, unpaid claims, and billing discrepancies.
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Assist with claim submission and insurance-related billing inquiries.
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Review claim status, payment details, invoices, notes, and trackers.
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Provide clean and accurate updates to the office manager.
Clinician Invoice & Claims Reconciliation
- Receive and organize clinician invoices.
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Verify completed clinician notes before payment approval.
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Cross-check invoices against claims and payment data.
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Maintain trackers for paid, unpaid, pending, and ready-for-review items.
Prior Authorization & Prescription Coverage Support
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Initiate and follow up on medication prior authorizations when needed.
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Communicate with insurance companies regarding prescription coverage and authorization requirements.
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Track authorization status and escalate missing information, coverage issues, or denials.
New Patient Calls & Intake Support
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Answer new patient calls when front desk staff is unavailable.
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Assist with intake inquiries, collect basic patient and insurance information, and explain next steps.
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Route clinical questions or complex concerns to the appropriate team member.
Referral, Intake & Documentation Support
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Review emails, faxes, and messages for referrals and patient documents.
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Organize intake forms, referral details, and insurance information.
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Place documents in the correct EMR buckets and support message triage.
Systems & Tools
Experience with the following is required or strongly preferred:
- eClinicalWorks / eCW - required
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ECW Eligibility Admin - required
- Availity
- Insurance payer portals
- Google Sheets, Microsoft Excel
- Google Drive, Gmail