Virtual Medical Assistant

Job Location and Shift

This full-time position is based in Chennai, Tamil Nadu, India, requiring work in US business hours during night shifts (Indian Standard Time).

Role Overview

The Virtual Medical Assistant will directly liaise with US healthcare provider offices and retail pharmacies to close quality care gaps by collecting and entering clinical evidence. This role is outcome-focused, involving daily efforts to obtain lab results, exam reports, medication refill information, and updating these into client systems for gap closure.

Key Responsibilities

• Engage with US healthcare offices to acquire missing clinical data such as A1c and blood pressure values, diabetic retinal eye exam results, mammogram and colonoscopy findings, and other HEDIS/Stars documentation.
• Coordinate with retail and mail-order pharmacies to verify medication fill dates, days supply, and refill statuses to support adherence measures for conditions like diabetes, hypertension, and statin use, fostering medication refill conversions.
• Review returned medical charts to extract relevant clinical evidence, determining compliance status or the need for exclusions.
• Accurately update population health platforms or electronic medical records (EMR) and maintain organized daily disposition logs.
• Arrange appointments with practice staff for patients requiring in-office visits to close care gaps.
• Monitor and report daily outreach metrics including volume, contact rates, evidence collected, and successful gap closures.

Required Qualifications

• Minimum 2 years of experience in US healthcare outreach or coordination such as HEDIS abstraction, record retrieval, prior authorization, accounts receivable follow-up, or provider engagement.
• Strong verbal communication skills with clear English proficiency.
• Familiarity with US healthcare terminology including payers, IPAs, NPI, EMR/EHR systems, faxback processes, release of information (ROI), and points of service (POS).
• Ability to interpret clinical charts accurately identifying dates, values, and providers.
• Availability to work full-time during US business hours from India.

Preferred Qualifications

• Experience in direct HEDIS/Stars gap closure or involvement during NCQA HEDIS seasons.
• Educational background in pharmacy (B.Pharm, Pharm.D), dentistry (BDS), or nursing fields (BHMS, BAMS, BSc Nursing).
• Familiarity with population health or quality management platforms such as Innovaccer, Arcadia, Reveleer, Inovalon, Athena, or eCW.