Our client Edge is looking for a Healthcare Virtual Assistant in Lima

EDGE is building a bridge between Top Global Talent and the US Healthcare & Insurance Industry. We are on a mission to create a borderless network of exceptional talent with people at the center of everything we do. See our values and more on onedge.co. We are looking for experienced Virtual Healthcare Assistant to support US-based healthcare providers, clinics, and medical practices. The idóneo candidate has direct experience working in the US Healthcare industry, with knowledge of healthcare scheduling, insurance verification, eligibility and benefits, prior authorizations, patient communication, and clinical administrative workflows. As a key member of a US-based healthcare practice, the Healthcare Virtual Assistant acts as a liaison between patients, healthcare providers, and insurance companies. The role requires a detail-oriented, tech-savvy professional who can navigate insurance portals and electronic health records while ensuring patients receive timely and efficient support throughout their care journey.





Responsibilities

Conduct comprehensive eligibility checking and benefits verification for patients prior to their scheduled appointments.

Accurately interpret complex insurance policies, differentiating between PPO, HMO, and Medicare/Medicaid guidelines.
Determine patient financial Responsibilities , including deductibles, copays, and coinsurance, and clearly document these findings within the practice management system.
Prepare, compile, and submit prior authorization requests to insurance companies via web portals, fax, or phone.
Review clinical documentation (progress notes, lab results, physician orders) to ensure medical necessity criteria are met before submission.
Proactively track the status of pending authorizations, manage appeals for denied claims, and expedite urgent requests to prevent delays in patient care.
Handle inbound and outbound calls to patients to schedule, resc

📌 Healthcare Virtual Assistant (Lima)
🏢 Recruit AI
📍 Lima