Remote Bilingual Insurance & Prior Authorization Specialist

GoLean Health; Medellín; Remote; COP 31,213,000 - 35,672,000; Part time

Job summary

GoLean Health is seeking an experienced bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. The position is remote and part-time, roughly 30 hours per week, with US Central Time alignment.

You will verify eligibility, initiate prior authorizations, coordinate patient intake and enrollment, assess financial assistance options, and help credentialing.

Qualifications

• Previous healthcare experience with insurance verification and prior authorizations.
• Experience with US commercial insurance plans and Medicaid.
• Experience contacting insurance companies and using payer portals.
• Understanding of eligibility and authorization workflows.
• Experience using an EHR or practice-management system.
• Strong administrative documentation and data-entry skills.

Responsibilities

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Review payer information and document results in clinic systems.
• Identify missing information that blocks enrollment.
• Initiate and process prior authorization requests per payer requirements.
• Communicate with insurance representatives and track authorization status.
• Coordinate patient intake and enrollment, ensuring complete records.

Skills

Bilingual English/Spanish

HIPAA compliance

Data entry

Time management

Tools

AdvancedMD

Microsoft Teams

Time Doctor

Job description

GoLean Health is seeking an experienced bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. The position is remote and part-time, roughly 30 hours per week, with US Central Time alignment.

You will verify eligibility, initiate prior authorizations, coordinate patient intake and enrollment, assess financial assistance options, and help credentialing.