Remote Bilingual Insurance & Prior Authorization Specialist

Go Lean Health; Sur; Remote; COP 25,776,000 - 36,712,000; Part time

Job summary

Go Lean Health seeks a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support enrollment and care preparation for a US nonprofit behavioral health organization. The role emphasizes administrative tasks, insurance verification, and authorization processes in a remote setting.

Responsibilities include ensuring eligibility, handling prior authorizations, coordinating patient intake, and tracking enrollment steps while maintaining HIPAA-compliant documentation and

Qualifications

• Healthcare experience with insurance verification and prior authorizations.
• Experience with US commercial insurance and Medicaid.
• Experience using payer portals.
• Knowledge of eligibility and authorization workflows.
• Experience with EHR or practice-management systems.
• Strong admin documentation and data-entry skills.
• High attention to detail with good follow-up and organization.
• Ability to work independently on multiple cases.
• Understanding of HIPAA and patient confidentiality requirements.
• Reliable attendance and punctuality.

Responsibilities

• Verify patient eligibility and applicable benefits with commercial plans and Medicaid.
• Review payer information and document results in clinic systems.
• Identify missing information that could delay enrollment.
• Initiate and process prior authorization requests per requirements.
• Communicate with insurance representatives and use payer portals for status.
• Track pending authorizations through approval or denial.
• Support patient intake by setting up profiles and collecting forms.
• Review intake docs for completeness and follow up with patients.
• Track patients through enrollment and coordinate with front-desk VMA.
• Review eligibility for nonprofit assistance or reduced-cost programs.
• Maintain documentation of eligibility status and pending items.
• Assist with provider credentialing and payer enrollment.

Skills

Insurance verification

Prior authorizations

EHR systems

Data entry

HIPAA compliance

Attention to detail

Remote work

Tools

AdvancedMD

Microsoft Teams

Payer portals

VPN

Intake portals

Time Doctor

Phone systems

Job description

Go Lean Health seeks a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support enrollment and care preparation for a US nonprofit behavioral health organization. The role emphasizes administrative tasks, insurance verification, and authorization processes in a remote setting.

Responsibilities include ensuring eligibility, handling prior authorizations, coordinating patient intake, and tracking enrollment steps while maintaining HIPAA-compliant documentation and