Location: In-office, Hebbal, Bengaluru
Employment Type: Full time
Timings: Night Shift – U.S. Time Zone (7:30 PM–4:30 AM IST)

About Us
Lenity Health is a mission-driven healthcare organization focused on creating exceptional experiences for patients, providers, and care teams across the U.S. healthcare ecosystem.
We help physician practices and healthcare systems improve efficiency, care quality, and scalability by combining skilled healthcare professionals with intelligent technology. With teams in the United States and India, Lenity Health brings deep experience in clinical operations, value-based care, and health technology.

About the Role
The Virtual Medical Assistant – Prior Authorization will support U.S.-based physician practices by managing prior authorization, denial, appeal, and referral workflows.
This role requires someone who is detail-oriented, proactive, and comfortable navigating payer portals, EHR systems, and insurance requirements. The ideal candidate can manage a high volume of cases accurately while communicating clearly with providers, care teams,



and patients.

Key Responsibilities
Submit and track prior authorization requests for medications, procedures, imaging, and durable medical equipment (DME) through payer portals such as Availity and CoverMyMeds, as well as by phone or fax when required.
Review clinical documentation to ensure medical necessity and payer-specific criteria are met before submitting requests.
Follow up on pending, denied, and expiring authorizations to avoid delays in patient care.
Review denial reasons, identify root causes, and determine the appropriate appeal pathway.
Draft and submit appeal letters with relevant clinical documentation.
Process and coordinate referral requests in accordance with practice and payer requirements.
Communicate authorization status, documentation requirements, and delays clearly to providers, care teams, front-desk staff, and patients.
Coordinate with billing, clinical, and administrativ

📌 Prior authorization expert (Bengaluru)
🏢 Lenity Health
📍 Bengaluru