Remote Pre-Auth & Referral Coordinator — LATAM Bilingual

My VA Support, Inc.; United States; Remote; USD 52,000 - 68,000; Full time

Benefits offered by this job

100% Remote position

Full-time schedule (Mon-Fri)

Weekends off

Remote payment bonuses

Job summary

My VA Support, Inc. seeks an experienced Pre-Authorization & Referral Coordinator for a full-time remote role supporting a U.S.-based medical office. The candidate must be LATAM-based and bilingual in Spanish and English.

The position requires expertise in insurance verification, prior authorizations, and referral coordination while maintaining compliance with U.S. guidelines. Independent contractor opportunity offered.

Qualifications

• 2+ years of experience in a U.S. medical office handling insurance verification and prior authorizations.
• Direct 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.

Responsibilities

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

Skills

Insurance verification

Prior authorizations

Payer portals

English communication

Tools

Availity

UnitedHealthcare

Aetna

Cigna

EMR/EHR systems

Job description

My VA Support, Inc. seeks an experienced Pre-Authorization & Referral Coordinator for a full-time remote role supporting a U.S.-based medical office. The candidate must be LATAM-based and bilingual in Spanish and English.

The position requires expertise in insurance verification, prior authorizations, and referral coordination while maintaining compliance with U.S. guidelines. Independent contractor opportunity offered.