Spanish Bilingual Medical Virtual Assistant

Jobtailor; Deutschland; Vor Ort; EUR 40.000 - 52.000; Vollzeit

Zusammenfassung

Jobtailor is seeking an Insurance Verification Specialist to support patient access by confirming benefits, deductibles, and authorizations before appointments. You will verify eligibility and document findings to ensure accurate patient billing and smooth scheduling.

You will manage EHR/EMR data, submit prior authorizations, and communicate updates to providers and patients while maintaining HIPAA compliance and high-quality customer service.

Qualifikationen

• Experience verifying insurance eligibility and processing prior authorizations.
• Familiarity with commercial plans, deductibles, copays, and coinsurance.
• Proficient in using insurance portals and payer websites.

Aufgaben

• Verify patient insurance eligibility and benefits before scheduled appointments.
• Review deductibles, copays, coinsurance, and patient financial responsibility.
• Ensure insurance information is accurate and updated within the EHR/EMR.
• Document eligibility verification activities thoroughly.
• Submit and obtain prior authorizations through insurance portals and payer websites.
• Monitor pending authorizations and follow up with insurers as needed.
• Communicate authorization updates to providers and clinic staff.
• Maintain records of authorization status and supporting documentation.
• Create new patient charts and update existing medical records.
• Ensure patient demographics and insurance information remain complete and accurate.
• Maintain organized documentation within the EMR system.
• Answer overflow inbound phone calls when the in-office team is unavailable.
• Assist patients with general inquiries professionally and empathetically.
• Route calls appropriately and ensure timely message delivery.
• Support the front office with insurance-related administrative tasks.
• Maintain HIPAA compliance and protect patient confidentiality at all times.

Kenntnisse

Insurance verification

Prior authorization

EHR/EMR experience

HIPAA compliance

Customer service

Tools

EHR/EMR systems

EasyDerm

Jobbeschreibung

Responsibilities

• Verify patient insurance eligibility and benefits before scheduled appointments.
• Review deductibles, copays, coinsurance, and patient financial responsibility.
• Ensure insurance information is accurate and updated within the EHR/EMR.
• Document all eligibility verification activities accurately and thoroughly.
• Submit and obtain prior authorizations through insurance portals and payer websites.
• Monitor pending authorization requests and follow up with insurance companies as needed.
• Communicate authorization updates promptly to providers and clinic staff.
• Maintain accurate records of authorization status and supporting documentation.
• Create new patient charts and update existing medical records.
• Ensure patient demographics and insurance information remain complete and accurate.
• Maintain organized documentation within the electronic medical record system.
• Answer overflow inbound phone calls when the in-office team is unavailable.
• Assist patients with general inquiries in a courteous, professional, and empathetic manner.
• Route calls appropriately and ensure timely message delivery.
• Support the front office with insurance-related administrative tasks.
• Maintain strict HIPAA compliance and protect patient confidentiality at all times.

Qualifications

• Minimum 2 years of experience working in a U.S. healthcare setting.
• Hands‑on experience with insurance eligibility verification and prior authorization processing.
• Strong understanding of:
  • Commercial insurance plans
  • Deductibles
  • Copays
  • Coinsurance
  • Authorization requirements
• Experience using insurance portals and payer websites.
• Experience working with EHR/EMR systems (EasyDerm experience is a plus).
• Previous experience handling inbound patient phone calls in a medical office.
• Excellent English verbal and written communication skills with a professional phone presence.

Demonstrates expertise in insurance eligibility verification and prior authorization processing within a healthcare setting, ensuring compliance with HIPAA regulations while maintaining accurate patient records and effective communication with providers and patients.