Bilingual Remote Insurance & Prior Authorization Specialist

Go Lean Health; Monterrey; Remote; MXN 149,000 - 212,000; Full time

Job summary

Go Lean Health is seeking a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on insurance verification, prior authorizations, enrollment support, and back-office workflow improvements.

You will handle eligibility checks, documentation, and patient follow-up to ensure timely enrollment and scheduling, while maintaining HIPAA standards and using clinic systems such as AdvancedMD.

Qualifications

• Experience with insurance verification and prior authorizations.
• Familiar with US commercial insurance plans and Medicaid.
• Proficient in using payer portals and documenting results.
• Ability to navigate HIPAA requirements and maintain patient confidentiality.
• Experience with an EHR or practice-management system.
• Strong data-entry and administrative documentation skills.

Responsibilities

• Verify patient eligibility and benefits with commercial insurance plans and Medicaid.
• Initiate and process prior authorization requests per payer and clinic requirements.
• Support intake, enrollment, and coordination to ensure complete demographic and insurance data.
• Conduct outbound follow-up to obtain required forms, signatures, and insurance details.
• Track eligibility and enrollment steps and coordinate with front-desk VMA for scheduling.
• Assist with credentialing documents and payer enrollment as the clinic grows.

Skills

Insurance verification

Prior authorizations

HIPAA compliance

EHR usage

Data entry

Attention to detail

Independent work

Tools

AdvancedMD

Microsoft Teams

Payer portals

Time Doctor

Job description

Go Lean Health is seeking a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on insurance verification, prior authorizations, enrollment support, and back-office workflow improvements.

You will handle eligibility checks, documentation, and patient follow-up to ensure timely enrollment and scheduling, while maintaining HIPAA standards and using clinic systems such as AdvancedMD.