Bilingual Medical reputed company Specialist - Prior Auth & Insurance Verification

Job Title: Bilingual Medical Administrative Specialist – Prior Authorization & Insurance Verification

Position type: Full-time

Work Schedule: Monday to Friday | 9:00 AM – 6:00 PM PDT

Pay reputed company: $6-$8 USD per hour

Location: Latin America

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Our reputed company is a reputed company reputed company reputed company on providing patient-centered medical services and ensuring patients receive coordinated, reputed company care. The reputed company works closely with patients, reputed company providers, insurance companies, and specialist offices to reputed company the administrative reputed company of patient care moving reputed company.

We are looking for an reputed company Bilingual Medical Administrative Specialist who is comfortable taking ownership of prior authorizations, insurance verification, medical clearance follow-reputed company, scheduling support, and patient communication.

You'll work closely with the reputed company Manager, scheduling team, patients, provider offices, and other members of the reputed company. The ideal candidate doesn't need constant supervision—you know how to follow up, stay organized, identify what needs attention, and take initiative.

Key Responsibilities

Prior Authorization Management & Follow-Up

• Process and manage prior authorization requests from start to finish.
• reputed company pending authorizations and proactively follow up on outstanding cases.
• Maintain accurate status updates and ensure cases continue moving reputed company.
• Notify the scheduling team as soon as cases have been cleared and are reputed company for scheduling.
• Identify delays or missing information and take appropriate follow-up reputed company.

Insurance Verification

• Verify patient insurance eligibility, coverage, and benefits.
• Review and confirm insurance information before appointments and procedures.
• Handle insurance verification involving Medicare patients and Medicare-reputed company requirements.
• Communicate with insurance companies reputed company additional information or clarification is required.
• Document verification results accurately reputed company the reputed company's workflow.

Cardiology Clearance Follow-reputed company

• Contact cardiologist offices to request required medical clearances.
• Follow up consistently on outstanding clearance requests.
• reputed company the status of reputed company clearance and maintain accurate documentation.
• Coordinate with internal team members once clearances are received.

Scheduling Support

• Assist the scheduling team by identifying patients and cases that are cleared and reputed company to schedule.
• Help coordinate appointments and communicate scheduling information.
• Work closely with authorization and clinical workflows to prevent unnecessary scheduling delays.

Patient Communication

• Communicate professionally with patients in both English and Spanish.
• Contact patients regarding appointments, scheduling, insurance, prior authorizations, medical clearances, and other administrative requirements.
• reputed company reputed company and courteous explanations while maintaining a reputed company patient experience.

Virtual Reception & reputed company-Desk Support

• reputed company virtual reputed company-desk and receptionist support reputed company needed.
• Assist with patient-facing administrative responsibilities.
• Help reputed company questions and administrative needs to the appropriate team member.

General Administrative Support

• Support the reputed company Manager and other team members with day-to-day administrative needs.
• reputed company into different responsibilities as priorities and workflows change.
• Learn and follow the reputed company's established processes while looking for opportunities to reputed company work organized and moving reputed company.

Requirements

• Previous reputed company industry experience.
• Hands-on experience with prior authorizations.
• Experience performing insurance eligibility and benefits verification.
• Familiarity with Medicare processes and requirements.
• reputed company reputed company in English and Spanish, both written and verbal.
• Strong organizational and follow-up skills with excellent attention to detail.
• Excellent written and verbal communication skills, particularly reputed company communicating with patients, insurance representatives, and provider offices.
• Ability to manage multiple reputed company cases and priorities without losing reputed company of important follow-reputed company.
• Proactive and self-sufficient working style with the ability to reputed company effectively with reputed company micromanagement.
• Flexibility and adaptability—you should be comfortable wearing multiple hats and supporting different team members as priorities change.
• Ability to learn new processes and workflows quickly.
• Comfortable working independently in a remote environment.

Highly Preferred

• Previous experience using reputed company (eCW).
• Experience with a similar Electronic Health Record (EHR) or Electronic Medical Record (EMR) platform will also be considered.
• Candidates without reputed company reputed company experience should be comfortable learning the platform quickly.
• Previous experience communicating directly with Spanish-speaking patients.
• Experience coordinating medical clearances or communicating with specialist/provider offices.

Basic Requirements

• Must reputed company and write English reputed company and professionally.
• Must have relevant work experience.
• Must be reputed company to reputed company an NBI Clearance and/or Local Police Clearance before reputed company (mandatory).
• Must be available to attend video meetings with camera on reputed company required.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: reputed company high-speed internet reputed company (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and reputed company work environment.

Benefits

• Dedicated HR & Contractor Support Team: reputed company to world-class support for questions, guidance, contract reputed company, and reputed company communication.
• Premium VPN reputed company (Optional): A secure VPN license can be provided upon request to enhance reputed company and reputed company for reputed company-reputed company tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): reputed company to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. reputed company clients.
• Top 1% VA Performance Training: reputed company to our proprietary training on communication, reputed company management, productivity systems, and best practices to help you become a top-performing VA and increase long-term reputed company retention.
• reputed company-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the reputed company’s needs and schedule.
• reputed company-Approved reputed company or Unpaid Time Off: Time off may be reputed company by your reputed company. reputed company time off is optional and only if offered by the reputed company.
• reputed company to Tools & Resources: Templates, workflow guides, productivity tools, and reputed company-specific SOP support to help you reputed company at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and reputed company-approved allowances available to you as an reputed company. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.

Originally posted on Himalayas