Remote Bilingual Insurance & Prior Authorization Specialist

Go Lean Health; Caracas; Remote; VES 7,406,000 - 9,875,000; Part time

Job summary

Go Lean Health is seeking a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on administration, enrollment support, and insurance-related workflows in a remote setting.

The position requires handling eligibility verification, authorizations, patient intake, and financial assistance outreach, while maintaining HIPAA compliance and accurate documentation across clinic systems.

Qualifications

• 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 using an EHR or practice-management system.

Responsibilities

• Verify patient eligibility and benefits with commercial insurance plans and Medicaid.
• Review payer information and document verification results in clinic systems.
• Identify documentation or coverage issues that block enrollment.
• Initiate and process prior authorization requests per payer and clinic requirements.
• Communicate with insurance representatives and use payer portals for requirements and status.
• Track pending authorization requests through approval/denial.

Skills

Insurance verification

Prior authorizations

Payer portals

HIPAA compliance

EHR data-entry

Tools

AdvancedMD

Microsoft Teams

Time Doctor

Job description

Go Lean Health is seeking a Bilingual Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a US nonprofit behavioral health organization. The role focuses on administration, enrollment support, and insurance-related workflows in a remote setting.

The position requires handling eligibility verification, authorizations, patient intake, and financial assistance outreach, while maintaining HIPAA compliance and accurate documentation across clinic systems.