Bilingual Remote Insurance & Prior Authorization Specialist

Go Lean Health; United States; Remote; MXN 180,000 - 206,000; Part time

Job summary

Go Lean Health seeks a highly organized, bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. The role focuses on enrollment and insurance workflows, coordinating intake, eligibility review, and authorizations while maintaining secure, compliant documentation.

The ideal candidate will work remotely from a private home workspace, handle multiple cases, and communicate with insurance providers

Qualifications

• Experience with US commercial insurance and Medicaid.
• Knowledge of eligibility verification workflows and authorizations.
• Experience using a practice-management system/EHR.

Responsibilities

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Initiate and process prior authorization requests per payer requirements.
• Coordinate patient intake and enrollment with documentation.
• Determine nonprofit financial assistance eligibility and follow up on missing forms.
• Support provider credentialing and payer enrollment as needed.

Skills

Insurance verification

Prior authorizations

EHR system

HIPAA compliance

Attention to detail

Multitasking

Tools

AdvancedMD

Microsoft Teams

Payer portals

VPN/secure remote access

Job description

Go Lean Health seeks a highly organized, bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. The role focuses on enrollment and insurance workflows, coordinating intake, eligibility review, and authorizations while maintaining secure, compliant documentation.

The ideal candidate will work remotely from a private home workspace, handle multiple cases, and communicate with insurance providers