Remote Pre-Auth & Referral Coordinator (Bilingual LATAM)

MyVA Support (MyVAS); Auvergne-Rhône-Alpes; Sur place; EUR 35 000 - 61 000; Plein temps

Avantages offerts par ce poste

Remote work

Bonus in USD

Résumé du poste

MyVA Support (MyVAS) is hiring a Pre-Authorization & Referral Coordinator to support a U.S.-based medical office in a fully remote capacity. The role targets LATAM-based candidates who are bilingual in Spanish and English and prefer independent contractor arrangements. You will verify insurance coverage, obtain authorizations, review benefits, and coordinate referrals within U.S.

guidelines. Experience with Medicare/Medicaid and commercial plans is required, using payer portals and EMR/EHR

Qualifications

• 2+ years in a U.S. medical office handling insurance verification and prior authorizations
• Hands-on experience obtaining authorizations independently
• Strong knowledge of Medicare, Medicaid, and commercial plans (HMO, PPO, POS)
• Understanding of deductibles, copays, coinsurance, and out-of-pocket maximums
• Experience using payer portals (Availity, UnitedHealthcare, Aetna, Cigna, etc.)
• Experience with EMR/EHR systems
• High attention to detail and ability to manage high-volume workflows
• Strong English communication skills (written and verbal)
• Reliable high-speed internet (min 100 MB)
• Own laptop/desktop and headset

Responsabilités

• Verify active insurance coverage and review detailed benefits
• Determine patient financial responsibility (copays, deductibles, coinsurance, out-of-pocket max)
• Obtain and manage prior authorizations for procedures, imaging and specialty services
• Submit and track authorization requests through payer portals
• Review and attach required clinical documentation
• Process and track internal and external referrals
• Ensure compliance with referral requirements
• Enter and document authorization details in EMR/EHR
• Follow up on pending authorizations and resolve denials
• Communicate insurance requirements and authorization status clearly to patients

Connaissances

U.S. medical office experience

Insurance verification

Prior authorizations

Payer portals

EMR/EHR systems

Bilingual English/Spanish

Outils

Availity

EMR/EHR systems

Description du poste

MyVA Support (MyVAS) is hiring a Pre-Authorization & Referral Coordinator to support a U.S.-based medical office in a fully remote capacity. The role targets LATAM-based candidates who are bilingual in Spanish and English and prefer independent contractor arrangements. You will verify insurance coverage, obtain authorizations, review benefits, and coordinate referrals within U.S.

guidelines. Experience with Medicare/Medicaid and commercial plans is required, using payer portals and EMR/EHR