Bilingual Medical Administrator – English/Spanish

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Entrepreneur Cooperative

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2023

🤝 B2B

📚 Education

B2B • Education • Entrepreneurship

Entrepreneur Cooperative is a community organization designed for founders and entrepreneurs looking to navigate business growth and exit strategies. By offering mentorship pairing seasoned entrepreneurs with newcomers, alongside customized educational initiatives, ECo fosters a supportive environment for members at various stages of their entrepreneurial journey. The cooperative model empowers members to shape the organization's direction, focused on mutual success through shared experiences and resources.

📋 Description

• Verify patient insurance eligibility and benefits. • Maintain accurate patient demographics and electronic medical records (EMR/EHR). • Upload laboratory results, referrals, provider notes, and other clinical documentation. • Ensure patient charts remain complete, accurate, and compliant with healthcare regulations. • Assist with medical documentation and record management. • Process prescription refill requests. • Coordinate with pharmacies regarding medication requests and prescription issues. • Assist with medication prior authorizations, including submission, follow-up, status tracking, and denial management. • Monitor prescription statuses to ensure timely patient care. • Assist with both medical/procedure and pharmacy prior authorizations. • Gather and submit required clinical documentation. • Follow up with insurance companies regarding authorization decisions. • Track pending authorizations, denials, appeals, and additional documentation requests. • Assist with provider enrollment for Medicare, Medicaid, and commercial insurance plans. • Maintain provider profiles within CAQH and credentialing platforms. • Track credentialing application progress and provider enrollment status. • Monitor provider licenses, DEA registrations, malpractice insurance, and credential expiration dates. • Coordinate with providers, insurance companies, and patients. • Support daily administrative workflows and office operations. • Maintain confidentiality while handling sensitive patient information.

🎯 Requirements

• At least 1 year of experience in Medical Administration, Medical Reception, Medical Virtual Assistance, Medical Records, Prior Authorizations, Credentialing, or a similar healthcare support role. • Advanced bilingual proficiency in English and Spanish (written and verbal). • Experience with insurance eligibility verification and benefits. • Experience working with EMR/EHR systems. • Strong knowledge of medical documentation and healthcare administrative workflows. • Excellent attention to detail and organizational skills. • Ability to manage multiple priorities in a fast-paced healthcare environment. • Strong written and verbal communication skills. • Ability to maintain strict confidentiality while handling protected health information (PHI).

🏖️ Benefits

• Fully remote opportunity • Competitive hourly compensation • Gain exposure to multiple areas of healthcare administration • Collaborative and supportive work environment • Ongoing learning and long-term career growth opportunities