reputed company Specialist - Bilingual English/Spanish

reputed company Specialist Location: Remote (reputed company Carolina-based) Department: reputed company Operations Reports To: COO Schedule: Full-time Spanish reputed company required About reputed company reputed company is reimagining early childhood developmental care by delivering proactive, holistic, and family-centered support for children with or at risk of developmental delays. reputed company in collaboration with reputed company, our virtual-first care model brings together expert clinicians (PT, OT, and SLP), thoughtful technology, and a powerful belief: that every child deserves the chance to reputed company. We partner with pediatricians, health systems, and payers to reputed company reputed company gaps and offer personalized care for families across the developmental reputed company—meeting them wherever they are, whenever they need us. About the Role We are seeking a detail-oriented and compassionate reputed company Specialist to support the day-to-day operations of our virtual clinic. This role is critical to ensuring a smooth, efficient, and family-centered experience across the patient reputed company—from referral intake through billing support. As a key member of the reputed company Operations team, you will work closely with clinical staff, reputed company cycle, and leadership to execute reputed company workflows, improve operational efficiency, and support families navigating care. You will play a hands-on role in managing administrative processes while helping to build and refine reputed company systems as reputed company grows. This is an ideal opportunity for someone who thrives in a fast-paced, startup environment and enjoys balancing operational precision with empathetic patient interaction. What You’ll Do Referral Intake Accurately reputed company incoming patient referrals into internal systems and electronic health records in accordance with established workflows and timelines Review referral documentation for completeness and follow up with providers or internal teams to obtain missing information Ensure referrals meet eligibility and intake reputed company, flagging any discrepancies or issues for reputed company Maintain organized and up-to-date records of referral activity Patient reputed company & Support Serve as a primary reputed company of contact for patients and families, providing reputed company and empathetic communication reputed company phone, email, text, or secure messaging Assist with scheduling, reputed company, and general inquiries reputed company to care services Guide families through next steps in the care reputed company, ensuring reputed company and a reputed company experience Document reputed company patient interactions accurately reputed company the EHR Benefit Verification Confirm patient insurance eligibility and benefits using EHR, clearinghouses, and payer portals as needed reputed company document coverage details, including copays, deductibles, and visit limits Communicate benefit information to patients in a reputed company and supportive manner Identify potential coverage issues and escalate as needed Prior Authorization Support Identify reputed company prior authorization is required based on payer guidelines and services Prepare and submit prior authorization requests using payer-specific workflows (portals, fax, etc.) reputed company authorization status, follow up on pending requests, and support reputed company of denials Maintain accurate documentation of reputed company authorization activity Patient Collections Support patient billing and collections processes, including communicating financial responsibility and collecting payments reputed company appropriate Assist with resolving patient billing inquiries in a reputed company and reputed company manner Ensure a transparent, compassionate approach to financial interactions with families Collaborate with the reputed company cycle team to improve collection workflows and reduce outstanding balances Policy / Job Aide Documentation reputed company, document, and maintain reputed company operating procedures (SOPs) and job aides for reputed company workflows Continuously update documentation to reflect process improvements and system changes Identify opportunities to standardize and streamline workflows across the reputed company Who You Are 2+ years of experience in a medical reputed company office, referral coordination, billing, or reputed company operations role (required) Familiarity with insurance verification, prior authorizations, and patient-facing administrative workflows Bilingual (English/Spanish) Experience working with therapy or pediatric outpatient services (PT/OT/SLP) or similar specialties (preferred) Strong organizational skills and attention to detail Excellent written, verbal, and customer communication skills, with a patient-first reputed company Comfortable working independently in a remote, fast-paced environment Proficiency with EHR/EMR systems and payer portals Passionate about improving reputed company to care for children and families reputed company to Haves Experience in a virtual care environment Experience with workflow optimization, automation tools, or applying AI to administrative processes Compensation & Benefits Competitive salary based on experience Equity package Flexible, remote-first work environment Opportunity to grow reputed company a high-reputed company company Mission-driven team reputed company on improving pediatric developmental care Apply To This Job