Ovadia Medical Consulting Group LLC Member Service & Prior Authorization Representative Remote · Full time Company website

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Our focus is helping our patients make changes through dietary and lifestyle interventions based on the most up-to-date scientific knowledge. We believe that optimal metabolic health is the key to preventing and treating chronic disease. Our exclusively telehealth practice utilizes cutting edge technology to partner with patients in their journey to achieve optimal metabolic health. The Founder, Dr. Philip Ovadia, is a board-certified Cardiac Surgeon. The organization's mission is to optimize the public’s metabolic health and help people stay the operating table.

Job Title: Member Service & Prior Authorization Representative

Company: Ovadia Heart Health, LLC

Location: Remote (United States)

Employment Type: Full-Time

Compensation: $19.50 - $22.50/hr

Reports To: Practice Manager

Benefits: Laptop and Office Stipend, Paid Time Off, Paid Holidays

** While medical insurance and retirement benefits are part of our future roadmap, they are not currently offered with this role.. **

About Ovadia Heart Health

Ovadia Heart Health is a telemedicine practice founded by Dr. Philip Ovadia, a board-certified heart surgeon who has performed over 3,300 open-heart surgeries. We take a different approach to heart disease: instead of just managing symptoms with medications, we focus on the root cause, metabolic health. Our practice serves 200+ patients across all 50 states, and our team spends real time with every patient (not the 15-minute visits you get elsewhere). We are growing, and we need someone who cares about patients as much as we do to help keep operations running smoothly.

The Role

You will be the operational backbone that keeps patient care moving forward. When a patient needs labs ordered, prior authorizations secured, or appointments scheduled, you make sure nothing falls through the cracks. You will work directly with our Practice Director and alongside a small, tight-knit office team in a fully remote environment.

What You Will Do

• Submit and track prior authorization requests for labs, imaging, and specialist referrals. Follow up with insurance companies to ensure timely approvals.
• Coordinate lab orders for patients across all 50 states, confirming correct panels, verifying insurance coverage, and ensuring orders reach the right facilities.
• Schedule and manage patient appointments, including new patient intake, follow-up visits with our physician and nurse practitioner, and coaching sessions.
• Handle general administrative support: documentation, patient record updates in our EHR (Elation), secure messaging via Spruce, and coordination with clinical staff.
• Communicate with patients professionally and warmly. You are often the first or most frequent point of contact, and how you treat people matters here.
• Flag issues proactively. If an authorization is stuck, a lab result is missing, or a patient needs attention, you raise it before it becomes a problem.

What We Are Looking For

Must have:

• 2+ years of experience in a medical office, clinic, or healthcare admin role (prior authorization experience strongly preferred)
• Working knowledge of insurance verification, benefits coordination, and prior auth workflows
• Experience with EHR systems (Elation experience is a plus, but not required)
• Strong attention to detail, especially with patient records, insurance documentation, and scheduling
• Clear, professional communication skills (written and verbal). You will interact with patients, insurance reps, and clinical staff daily.
• Reliable, self-directed work habits. This is a remote position, and we trust our team to manage their time and responsibilities.

Nice to have:

• Experience in a telemedicine or virtual practice setting
• Familiarity with Spruce (secure messaging) or Keap (CRM)
• Background in cardiology, metabolic health, or preventive medicine practices
• Comfort working in a small, fast-moving team where you wear multiple hats

Schedule & Compensation

• $19.50 to $22.50 per hour, depending on experience
• Full-time, Monday through Friday
• Remote position (must have reliable internet and a quiet workspace)

Why Work Here

We are not a typical medical practice. We believe heart disease is preventable, that the mainstream system often gets it wrong, and that patients deserve a team that actually listens. You will be part of a small team doing meaningful work: helping real people take control of their health. If you are tired of corporate healthcare and want to work somewhere that genuinely puts patients first, this is the place.

How to Apply

Submit your resume and a brief note about your healthcare admin experience. Tell us what EHR systems you have worked with and why you are interested in a metabolic health-focused practice.