Remote Bilingual Insurance & Prior Authorization Specialist

Go Lean Health; Región Centro; Remote; MXN 149,000 - 212,000; Part time

Benefits offered by this job

Remote work

Job summary

Go Lean Health seeks a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support enrollment and care readiness for a nonprofit behavioral health organization in the United States.

You will verify eligibility, process authorizations, coordinate patient intake, and explore nonprofit financial assistance options to aid enrollment and scheduling. This remote role emphasizes HIPAA-compliant documentation and efficient workflow management.

Qualifications

• Healthcare experience with insurance verification and prior authorizations.
• Experience with US commercial insurance plans and Medicaid.
• Experience contacting insurers and using payer portals.
• Strong understanding of eligibility and authorization workflows.
• Experience using an EHR or practice-management system.
• Strong 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.
• Initiate and process prior authorization requests per payer requirements.
• Assist with patient intake by creating profiles and collecting forms.
• Identify missing information and follow up with patients to complete enrollment.
• Support credentialing and payer enrollment activities as clinic expands.

Skills

Insurance verification

Prior authorizations

US payer portals

EHR systems

HIPAA compliance

Multitasking

Bilingual EN/ES

Tools

AdvancedMD

Job description

Go Lean Health seeks a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support enrollment and care readiness for a nonprofit behavioral health organization in the United States.

You will verify eligibility, process authorizations, coordinate patient intake, and explore nonprofit financial assistance options to aid enrollment and scheduling. This remote role emphasizes HIPAA-compliant documentation and efficient workflow management.