Bilingual Insurance & Prior Authorization Specialist Remote

GoLean Health; Valencia; A distancia; VES 7.142.000 - 10.171.000; Jornada completa

Descripción de la vacante

GoLean Health is seeking a bilingual Virtual Medical Assistant for back-office insurance and prior authorization tasks supporting a U.S. nonprofit behavioral health organization.

The role focuses on administrative and insurance processes to move patients through enrollment and prepare for care. You will manage eligibility verification, benefits review, and documentation in AdvancedMD, ensuring accurate data and timely follow-up across payer requirements.

Formación

• Must have health care experience with insurance verification and prior authorizations.
• Experience with US commercial insurance plans and Medicaid.
• Experience contacting insurance companies and using payer portals.
• Strong understanding of eligibility and authorization workflows.
• Experience with an EHR or practice-management system.

Responsabilidades

• Verify patient eligibility and benefits with commercial plans and Medicaid.
• Review payer information and document results in clinic systems.
• Initiate and process prior authorization requests.
• Coordinate patient intake and enrollment, ensure complete demographics and insurance data.
• Track and follow up on enrollment and eligibility requirements.

Conocimientos

Insurance verification

Prior authorizations

EHR systems

Bilingual English/Spanish

Herramientas

AdvancedMD

Descripción del empleo

GoLean Health is seeking a bilingual Virtual Medical Assistant for back-office insurance and prior authorization tasks supporting a U.S. nonprofit behavioral health organization.

The role focuses on administrative and insurance processes to move patients through enrollment and prepare for care. You will manage eligibility verification, benefits review, and documentation in AdvancedMD, ensuring accurate data and timely follow-up across payer requirements.