Efficient and meticulous record keeping
Insurance Authorization Virtual Assistant
Let our skilled Insurance Authorization Virtual Assistants manage all aspects of prior authorization and insurance verification, so you can focus on providing exceptional patient care without being weighed down by insurance paperwork and administrative details.
Efficient and meticulous record keeping
Insurance Authorization Virtual Assistant
What is the purpose for an Insurance Authorization VA?
Having a Medical Insurance Authorization Specialist Virtual Assistant ensures precise handling of insurance pre-authorizations and verifications, along with accurate maintenance of patient insurance records. They manage essential documentation, from authorization forms to regulatory compliance filings, allowing you to dedicate your time to core patient care.
Prior Authorization Management
Managing prior authorization requests by initiating and following up with insurance providers to secure timely approvals for treatments, procedures, and medications, and to monitor authorization statuses while addressing any denials or delays in real-time to minimize disruptions to patient care.
Insurance Verification
Verifying patient insurance eligibility and coverage details prior to appointments or treatments, ensuring accurate billing and preventing claim rejections, as well as confirming co-pays, deductibles, and out-of-pocket costs to provide transparent payment information to patients and the healthcare team.
Documentation Preparation and Submission
Verifying patient insurance eligibility and coverage details prior to appointments or treatments, ensuring accurate billing and preventing claim rejections, as well as confirming co-pays, deductibles, and out-of-pocket costs to provide transparent payment information to patients and the healthcare team.
Appeal and Denial Management
Handling claim denials by gathering additional information, preparing appeals, and following up with insurance providers to reverse or resolve denied claims, as well as maintaining records of denied authorizations and appeals for reporting and quality improvemen
Communication with Providers & Patients
Acting as the liaison between the healthcare provider, insurance companies, and patients, addressing authorization-related questions, clarifications, and additional requirements, and to provide patients with updates on authorization status, coverage limits, and expected out-of-pocket costs, enhancing transparency and patient satisfaction.
Compliance and Record-Keeping
Ensuring all authorization processes comply with HIPAA and other healthcare regulations, and to organize and maintain authorization records and patient information securely, allowing for easy retrieval and audit compliance.
Authorization Tracking and Reporting
Tracking authorization requests, approvals, and denials in order to generate reports for the practice, offering insights into authorization trends, payer performance, and areas for process improvement, and to identify patterns in authorizations that may improve workflow efficiency, reduce denial rates, or inform adjustments in administrative protocols.
Billing and Claims Support
Collaborating with the billing team to ensure a smooth transition from authorization to billing, reducing errors and claim rejections, and to verify that all authorizations align with billing requirements, facilitating accurate invoicing and reimbursement.
Work With Your Tech Stack
Bookkeeping Tools
Virtual Medical Assistants Vs. In House
Cut Costs
Reduce your costs by up to 70% by relying on a skilled virtual medical assistant to manage your administrative tasks instead of hiring an in-house team.
Effortless Management
Enjoy efficient support without the extra expenses. A virtual medical assistant helps you save on salaries, office space, equipment, and benefits.
Less Stress
Simplify your operations with cost-effective solutions. Virtual medical assistants streamline your practice while reducing overhead costs.
Committed Assistance
With Protos, you receive reliable support and a dedicated account manager. Have questions or need assistance? Your team is always just a call or email away.
PRICING
Affordable pricing plans
We custom tailor each plan according to your needs, ensuring you get the best value for your business.
Starting at $9 per hour
Growth Plan
Perfect for small to medium-sized businesses looking to scale efficiently.
- 40 Hours Per Week
- Skilled in key tools.
- Flexible, tailored assistance.
- Monthly performance reviews.
Starting at $11 per hour
Executive Plan Powered by AI
Advanced support with AI integration.
- Everything on Growth plan
- AI-driven insights and suggestions.
- Proactive task management.
- Competitive edge through AI insights.
- Expert VA with AI access.
- Faster task completion with AI tools.
- Enhanced data analysis.
- Tailored AI-supported solutions.
Daily Tasks
- Insurance Verification
- Prior Authorizations
- Patient Communication
- Claims Preparation
- Documentation Updates
Weekly Tasks
- Follow Ups
- Denial Management
- Coordination with Providers
- Reporting and Analysis
Monthly Tasks
- Audit Authorization Processes
- Reconcile Pending and Completed Authorizations
- Training and Updates
- Payer Relationship Management
Yearly Tasks
- Annual Review of Insurance Policies
- Performance Metrics Reporting
- Contract and Agreement Review
- Strategic Planning
- Compliance Audits
Flexible engagement plans are available to suit practices of all sizes, whether you need part-time assistance or full-time support.
Success Stories and Testimonials
Hear it From Our Users
FAQs
A Virtual Assistant specializing in medical insurance authorizations manages tasks such as verifying insurance coverage, obtaining pre-authorizations, and handling follow-ups with insurance providers. By delegating these tasks to a Protos Virtual Assistant, your team can focus on patient care instead of administrative burdens.
Protos Virtual Assistants manage pre-authorization requests, verify patient insurance coverage, follow up on pending approvals, appeal denied authorizations, and maintain detailed documentation of all communication with insurance providers.
Yes, all Protos Virtual Assistants undergo comprehensive training in medical billing, insurance authorization workflows, and healthcare terminology to ensure accuracy and efficiency.
Our Virtual Assistants communicate directly with insurance companies via phone, email, and online portals. They ensure all necessary information is provided and follow up on unresolved issues promptly.
Protos Virtual Assistants are proficient in commonly used medical billing systems and EHR platforms, including Epic, Cerner, Athenahealth, and more. We also adapt to your practice’s specific tools and workflows.
Data security is a top priority at Protos. Our Virtual Assistants adhere to HIPAA compliance standards, and all communication and data handling processes are fully encrypted and monitored.
Yes, Protos Virtual Assistants are trained to seamlessly integrate with your EHR system, ensuring smooth workflows and accurate documentation.
While turnaround times depend on insurance providers and case complexity, Protos Virtual Assistants are trained to prioritize urgent cases and follow up proactively to minimize delays.
You’ll have a dedicated point of contact for your Protos Virtual Assistant, and regular updates will be provided via email, phone calls, or through your preferred communication platform.
Protos Virtual Assistants can operate in both real-time and asynchronous workflows, depending on your practice’s requirements and preferences.
In the case of a denial, Protos Virtual Assistants will carefully review the reasons, gather additional supporting documentation, and submit an appeal if appropriate.
Yes, consistent follow-ups on pending authorizations and appeals are a key part of their responsibilities.
The onboarding process includes an initial consultation, system setup, workflow alignment, and a brief training period to ensure the Virtual Assistant meets your practice’s needs.
Performance is tracked through regular quality assessments, key performance metrics, and periodic feedback sessions with your team.
Absolutely. Workflows can be tailored to align with your specific operational requirements.
Pricing varies based on workload, service scope, and required hours. Contact our sales team for a customized quote tailored to your practice.
Flexible engagement plans are available to suit practices of all sizes, whether you need part-time assistance or full-time support.
In most cases, onboarding can begin within a few business days after an initial consultation.
We offer dedicated account management and customer support to address any concerns swiftly. Your satisfaction is our priority.
Protos specializes exclusively in medical insurance authorizations, ensuring deep expertise, focused training, and reliable performance tailored to healthcare providers.
How it Works
Hiring a Medical Insurance Authorization Virtual Assistant at ProtosVA
Consultation
Begin by scheduling a consultation call with our team to chat about the duties you want to assign to your medical assistant; be it managing patient appointments or records in the EHR system or providing assistance, with billing or addressing patient questions.
Selection
Our Matching team is dedicated to finding the best medical assistant to meet your needs. To help ensure you connect with the right professional,
Onboarding
Once we've chosen and approved the candidate, for the role and position at hand we will lead them through an onboarding experience crafted to match your teams beliefs and requirements effectively.
