Bilingual Insurance & Prior Authorization Specialist (Remote)

GoLean Health; Caracas; A distancia; VES 7.420.000 - 9.893.000; Jornada completa

Descripción de la vacante

GoLean Health is seeking a bilingual Virtual Medical Assistant for back-office insurance verification, prior authorizations, and patient enrollment support for a United States nonprofit behavioral health organization. The role focuses on administrative workflows, eligibility verification, and coordination to move patients through enrollment and care initiation.

You will work remotely with a US-based team, handling insurance requirements, documentation, and follow-up across commercial plans,

Formación

• Experience in healthcare administration with insurance verification and prior authorizations.
• Experience with US commercial insurance plans, Medicaid, or both.
• Experience contacting insurance companies and using payer portals.
• Strong understanding of healthcare eligibility and authorization workflows.
• Experience using an EHR or practice-management system.
• Strong administrative documentation and data-entry skills.
• High attention to detail and accuracy with good follow-up and organization.

Responsabilidades

• Verify patient eligibility and benefits with commercial insurance and Medicaid.
• Review payer information and document results in AdvancedMD and clinic systems.
• Identify missing information that could block enrollment and follow-up as needed.

Conocimientos

Bilingual English/Spanish

Healthcare administration

Independent work

Attention to detail

Follow-up skills

Herramientas

AdvancedMD

Microsoft Teams

Time Doctor

Payer portals

Descripción del empleo

GoLean Health is seeking a bilingual Virtual Medical Assistant for back-office insurance verification, prior authorizations, and patient enrollment support for a United States nonprofit behavioral health organization. The role focuses on administrative workflows, eligibility verification, and coordination to move patients through enrollment and care initiation.

You will work remotely with a US-based team, handling insurance requirements, documentation, and follow-up across commercial plans,