SPANISH BILINGUAL Medical Virtual Assistant

Winning Assistants, Inc.; United States; Remote; USD 17,192,000 - 20,058,000; Full time

Job summary

Winning Assistants is seeking an experienced Medical Virtual Assistant to support insurance eligibility verification, prior authorizations, and front office tasks. The role involves handling patient calls, documenting activities, and maintaining HIPAA compliance in a fast-paced medical environment.

The ideal candidate will have hands-on experience with U.S. insurance portals, patient benefits verification, and strong communication skills to support providers and clinic staff.

Qualifications

• Minimum 2 years of experience in a U.S. healthcare setting.
• Hands‑on experience with insurance eligibility verification and prior authorization processing.
• Strong understanding of commercial insurance plans, deductibles, copays, coinsurance, and authorization requirements.
• Experience using insurance portals and payer websites.
• Experience with EHR/EMR systems and handling inbound patient phone calls.

Responsibilities

• Verify patient insurance eligibility and benefits prior to appointments.
• Review deductibles, copays, coinsurance, and patient financial responsibility.
• Submit and obtain prior authorizations through portals and payer websites.
• Maintain accurate records of authorization status and supporting documentation.
• Create/update patient charts and ensure accurate demographics and insurance info.

Skills

Insurance eligibility verification

Prior authorizations

HIPAA compliance

Excellent communication

Front office support

Tools

EasyDerm

Job description

Job Type: Full-Time (40 hours/week)
Salary: $6.00–$7.00 USD per hour (depending on experience)
Schedule: Monday to Friday
Working Hours: 9:00 AM – 6:00 PM Pacific Time (PST)

About the Role

We are seeking an experienced Medical Virtual Assistant with a strong background in insurance eligibility verification, prior authorizations, and front office support. This role is ideal for someone who thrives in a fast‑paced medical environment, enjoys working with insurance processes, and delivers exceptional patient service over the phone.

The ideal candidate has hands‑on experience navigating U.S. insurance portals, verifying patient benefits, obtaining prior authorizations, and supporting front office operations while maintaining the highest level of professionalism and HIPAA compliance.

Key Responsibilities

Insurance Eligibility & Benefits Verification

• Verify patient insurance eligibility and benefits before scheduled appointments.
• Review deductibles, copays, coinsurance, and patient financial responsibility.
• Ensure insurance information is accurate and updated within the EHR/EMR.
• Document all eligibility verification activities accurately and thoroughly.

Prior Authorizations

• Submit and obtain prior authorizations through insurance portals and payer websites.
• Monitor pending authorization requests and follow up with insurance companies as needed.
• Communicate authorization updates promptly to providers and clinic staff.
• Maintain accurate records of authorization status and supporting documentation.

Patient Chart Management

• Create new patient charts and update existing medical records.
• Ensure patient demographics and insurance information remain complete and accurate.
• Maintain organized documentation within the electronic medical record system.

Front Office & Patient Support

• Answer overflow inbound phone calls when the in‑office team is unavailable.
• Assist patients with general inquiries in a courteous, professional, and empathetic manner.
• Route calls appropriately and ensure timely message delivery.
• Support the front office with insurance‑related administrative tasks.
• Maintain strict HIPAA compliance and protect patient confidentiality at all times.

Required Qualifications

• Minimum 2 years of experience working in a U.S. healthcare setting.
• Hands‑on experience with insurance eligibility verification and prior authorization processing.
• Strong understanding of:
  • Commercial insurance plans
  • Deductibles
  • Copays
  • Coinsurance
  • Authorization requirements
• Experience using insurance portals and payer websites.
• Experience working with EHR/EMR systems (EasyDerm experience is a plus).
• Previous experience handling inbound patient phone calls in a medical office.
• Excellent English verbal and written communication skills with a professional phone presence.

Preferred Qualifications

• Experience working in a dermatology or other specialty medical practice.
• Previous experience as a remote Healthcare Virtual Assistant.
• Spanish‑speaking ability is preferred.

Desired Skills

• Exceptional attention to detail and accuracy.
• Strong organizational and time management skills.
• Ability to work independently with minimal supervision.
• Excellent problem‑solving and critical‑thinking abilities.
• Comfortable managing multiple insurance requests, authorizations, and patient calls simultaneously.
• Ability to thrive in a fast‑paced, patient‑centered healthcare environment.
• Strong customer service and interpersonal communication skills.

Basic Requirements

• Must speak and write English clearly and professionally.
• Must have relevant work experience.
• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
• Must be available to attend video meetings with camera on when required.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: Stable high‑speed internet connection (minimum 25 Mbps).
• Audio: Noise‑canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.