Bilingual Insurance & Prior Authorization Specialist Remote

Go Lean Health; Valencia; Remote; VES 7,129,000 - 10,153,000; Part time

Benefits offered by this job

Remote work

Job summary

Go Lean Health seeks a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. This remote role handles administrative and insurance tasks to move patients through enrollment and prepare them for care.

The role requires experience with insurance verification, prior authorizations, EHR systems, HIPAA compliance, and bilingual English/Spanish skills.

Qualifications

• Previous healthcare experience with substantial responsibility for insurance verification and prior authorizations.
• Experience working 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. Strong follow-up, organization, and task-management skills.
• Ability to work independently and manage multiple pending cases.
• Strong understanding of HIPAA and patient confidentiality requirements.
• Reliable attendance and punctuality.

Responsibilities

• Verify patient eligibility and applicable benefits with commercial insurance plans and Medicaid.
• Review payer information and document verification results in AdvancedMD and clinic systems.
• Identify insurance requirements, coverage issues, or missing information affecting enrollment.

Skills

Insurance verification

Prior authorizations

Healthcare administration

HIPAA compliance

Data entry

EHR systems

Bilingual English/Spanish

Tools

AdvancedMD

Microsoft Teams

Payer portals

Job description

Go Lean Health seeks a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. This remote role handles administrative and insurance tasks to move patients through enrollment and prepare them for care.

The role requires experience with insurance verification, prior authorizations, EHR systems, HIPAA compliance, and bilingual English/Spanish skills.