Healthcare Operations Specialist
Location: Medellín, Colombia
Work Model: Hybrid - 10 days per month in the office
Employment Type: Full-time
About The Role
We are looking for a Healthcare Operations Specialist to support and optimize day-to-day healthcare operations. This hands-on role combines patient coordination, medical billing support, cross-functional collaboration, and process improvement.
The ideal candidate is organized, proactive, comfortable solving problems, and able to navigate both operational tasks and technology-driven initiatives. You will work with patients, healthcare providers, and internal teams to ensure efficient workflows, a positive patient experience, and continuous operational improvement.
This position offers the opportunity to take ownership of operational processes, identify improvement opportunities, and contribute to the implementation of more efficient workflows and tools.
Key Responsibilities
- 2. Medical Billing & Revenue Cycle Support
- 3. Process Improvement & Cross-functional Collaboration
- Healthcare Operations & Patient Coordination
- Coordinate patient onboarding, appointment scheduling, and follow-up through phone calls and written communications.
- Guide patients through their care journey, addressing questions and ensuring timely communication.
- Coordinate diagnostic procedures, referrals, test results, and follow-up care.
- Communicate with healthcare providers to support efficient care coordination and resolve operational issues.
- Identify recurring challenges and opportunities to improve the patient and provider experience.
- Support revenue cycle management activities, including insurance eligibility verification, claim submissions, and prior authorization coordination.
- Follow up with insurance carriers regarding outstanding claims, denials, and appeals.
- Prepare, send, and track invoices and related documentation.
- Maintain accurate operational and billing records and follow up on outstanding items.
- Gather feedback from patients, providers, and internal stakeholders to identify workflow improvement opportunities.
- Translate operational needs and user feedback into clear requirements for process or technology improvements.
- Collaborate with technical and operational teams to improve workflows and support automation initiatives.
- Track operational issues, follow through on action items, and help implement solutions.
- Contribute to the documentation and standardization of processes as operations evolve.
- Professional working proficiency in both English and Spanish.
- Strong written and verbal communication skills, with the ability to interact effectively with patients, healthcare providers, and cross-functional teams.
- Experience coordinating operational processes, managing multiple priorities, and following through on tasks.
- Strong organizational skills, attention to detail, and problem-solving abilities.
- Ability to identify process gaps and translate feedback or operational needs into actionable improvements.
- Familiarity with U.S. healthcare operations, medical billing, insurance processes, or healthcare compliance requirements, or the ability to learn these quickly.
- Comfort working in a fast-paced, evolving environment that requires adaptability and initiative.
- Proficiency with Google Workspace, including Docs, Sheets, and Slides.
- Experience in healthcare operations, patient coordination, medical billing, revenue cycle management, or healthcare administration.
- Familiarity with electronic health records (EHRs), customer relationship management (CRM) platforms, or healthcare management systems.
- Experience documenting workflows, improving operational processes, or supporting automation initiatives.
- Familiarity with project management tools or software development tracking platforms.
- Experience working with U.S.-based healthcare teams or supporting U.S. healthcare workflows.
- Exposure to healthcare operations, process improvement, and technology-enabled workflows.
- Opportunities to collaborate with operational and technical teams.
- The ability to take ownership of processes and contribute to continuous improvement.
- A dynamic work environment that encourages initiative, learning, and professional growth.