Bilingual Insurance & Prior Authorization Specialist - Remote

Go Lean Health; Maracaibo; A distancia; VES 7.129.000 - 10.153.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work

Descripción de la vacante

Go Lean Health is hiring a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on insurance verification, prior authorizations, enrollment prep, and back-office processes to move patients through enrollment and care.

Candidate will handle intake, eligibility checks, documentation, and coordination with VMA/front-desk teams, ensuring secure, compliant handling of sensitive information in a

Formación

• Experience in healthcare administration focusing on insurance verification and prior authorizations.
• Familiarity with US commercial plans and Medicaid.
• Ability to navigate payer portals and document verification results accurately.
• Knowledge of HIPAA and patient confidentiality requirements.
• Strong data-entry and documentation skills with attention to detail.

Responsabilidades

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Initiate and process prior authorizations per payer requirements.
• Assist with patient intake, enrollment, and demographic documentation.
• Identify missing information and follow up with patients to complete forms and details.
• Support credentialing and payer enrollment as clinic expands.

Conocimientos

Insurance verification & prior author

US payer knowledge

EHR data entry

HIPAA compliance

Documentation & follow-up

Herramientas

AdvancedMD

Microsoft Teams

Payer portals

Time Doctor

Descripción del empleo

Go Lean Health is hiring a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on insurance verification, prior authorizations, enrollment prep, and back-office processes to move patients through enrollment and care.

Candidate will handle intake, eligibility checks, documentation, and coordination with VMA/front-desk teams, ensuring secure, compliant handling of sensitive information in a