Bilingual Medical Admin Specialist – Prior Auth, Insurance Verification

🔥 0 minutes ago

🌐 Brazil, El Salvador, +4 more countries – Remote

🇧🇷 Brazil – Remote 🇸🇻 El Salvador – Remote 🇲🇽 Mexico – Remote 🇨🇴 Colombia – Remote 🇳🇮 Nicaragua – Remote 🇦🇷 Argentina – Remote

💵 $6 - $8 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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Winning Assistants LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Winning Assistants LLC is a staffing and recruiting company that provides virtual assistants from the top 1% of the global talent pool. They specialize in helping doctors, healthcare professionals, and business owners save time, reduce costs, and scale operations with highly skilled, HIPAA-compliant virtual assistants. Their services include admin support, medical office management, marketing, and customer service, allowing clients to focus on growth.

📋 Description

• Process and manage prior authorization requests from start to finish • Track pending authorizations and proactively follow up on outstanding cases • Maintain accurate authorization status updates and ensure cases continue moving forward • Notify the scheduling team when cases are cleared and ready for scheduling • Identify delays or missing information and take appropriate follow-up action • Verify patient insurance eligibility, coverage, and benefits • Review and confirm insurance information before appointments and procedures • Handle insurance verification involving Medicare patients and Medicare-related requirements • Communicate with insurance companies when additional information or clarification is required • Document verification results accurately within the practice's workflow • Contact cardiologist offices to request required medical clearances • Follow up on outstanding clearance requests and track clearance status • Coordinate with internal team members once clearances are received • Assist the scheduling team by identifying cleared patients and cases ready to schedule • Help coordinate appointments and communicate scheduling information • Communicate professionally with patients in English and Spanish • Contact patients regarding appointments, scheduling, insurance, prior authorizations, medical clearances, and other administrative requirements • Provide virtual front-desk and receptionist support when needed • Assist with patient-facing administrative responsibilities and route questions appropriately • Support the Practice Manager and team members with day-to-day administrative needs • Adapt to changing priorities, learn established processes, and keep workflows organized and moving efficiently

🎯 Requirements

• Previous healthcare industry experience • Hands-on experience with prior authorizations • Experience performing insurance eligibility and benefits verification • Familiarity with Medicare processes and requirements • Professional fluency in English and Spanish, written and verbal • Strong organizational and follow-up skills with excellent attention to detail • Excellent written and verbal communication skills • Ability to manage multiple open cases and priorities • Proactive, self-sufficient working style with minimal micromanagement • Flexibility and adaptability to support changing priorities • Ability to learn new processes and workflows quickly • Ability to work independently in a remote environment • Previous eClinicalWorks experience highly preferred • Experience with an EHR or EMR platform considered • Experience communicating directly with Spanish-speaking patients highly preferred • Experience coordinating medical clearances or communicating with specialist/provider offices highly preferred • Ability to speak and write English clearly and professionally • Relevant work experience • Must provide an NBI Clearance and/or Local Police Clearance before onboarding • Must attend video meetings with camera on when required • Reliable laptop or desktop computer • Stable high-speed internet connection of at least 25 Mbps • Noise-canceling headset • Working webcam • Quiet and professional work environment

🏖️ Benefits

• Dedicated HR & Contractor Support Team • Premium VPN Access (Optional) • HIPAA & Cybersecurity Training + Certification (Provided) • Top 1% VA Performance Training • Client-Approved U.S. Holidays • Client-Approved Paid or Unpaid Time Off • Access to Tools & Resources • Optional Performance-Based Incentives • Optional contractor perks and client-approved allowances available to independent contractors