Bilingual Prior Authorization, Insurance Verification Specialist

🔥 8 minutes ago

🌐 Colombia, Mexico, +4 more countries – Remote

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

💵 $6 - $7 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Verify patient insurance eligibility, active coverage, benefits, effective dates, plan type, network status, copays, deductibles, coinsurance, out-of-pocket information, referral requirements, and authorization requirements • Document eligibility and benefit information in EZ Derm or the designated workflow • Communicate with insurance companies about eligibility, benefits, authorization requirements, and pending requests • Document insurance calls, including representative name, reference number, date and time, phone number, information obtained, and next action • Manage prior authorizations from submission through final resolution • Submit prior authorization requests with complete supporting documentation • Track status updates, additional information requests, approvals, denials, authorization numbers, approved codes, units, and date ranges • Manage prior authorizations for biologic medications • Create and maintain follow-up tasks for unresolved insurance and authorization items • Track pending items through completion, resolution, or escalation • Escalate clinical, financial, missing information, denial, delay, or decision-making concerns as appropriate • Handle insurance-related phone calls as the primary focus • Provide overflow patient call support as operational needs allow • Provide a daily End of Day report summarizing completed work and outstanding items • Maintain patient confidentiality and comply with HIPAA and practice policies • Use EZ Derm, 3CX, insurance portals, payer systems, task workflows, phone, email, and internal communication systems

🎯 Requirements

• Prior experience in a healthcare or medical practice setting • Fluency in both English and Spanish • Hands-on experience verifying insurance eligibility, benefits, coverage, plan details, and authorization requirements • Experience managing prior authorizations from submission through resolution • Experience speaking directly with insurance representatives by phone • Experience maintaining detailed records, creating follow-up tasks, tracking pending authorizations, and following unresolved items through completion • Must speak and write English clearly and professionally • Relevant work experience • Must provide an NBI Clearance and/or Local Police Clearance before onboarding • Must be available to 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 • Biologic medication prior authorization experience strongly preferred • EZ Derm experience preferred but not required • 3CX or similar business phone system experience preferred but not required

🏖️ 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