Remote Bilingual Insurance & Prior Authorization Specialist

GoLean Health; Maracaibo; A distancia; VES 7.142.000 - 10.171.000; A tiempo parcial

Descripción de la vacante

GoLean Health is seeking an experienced bilingual back-office medical assistant to support a US nonprofit behavioral health organization. This remote role focuses on insurance verification, prior authorizations, intake, and enrollment to move patients through enrollment and prepare them for care.

You will work with AdvancedMD and payer portals, coordinate with front-desk staff, and ensure documentation is complete and accurate.

Formación

• : Experience with US commercial insurance plans or Medicaid.
• : Experience contacting insurance companies and using payer portals.
• : Experience using an EHR or practice-management system.
• : High attention to detail and accuracy.
• : Strong follow-up, organization, and task-management skills.
• : Ability to work independently and manage multiple pending cases.
• : Knowledge of HIPAA and patient confidentiality requirements.
• : Reliable attendance and punctuality.

Responsabilidades

• Verify patient eligibility and benefits with commercial insurance plans and Medicaid.
• Review payer information and document results in AdvancedMD and clinic systems.
• Identify insurance requirements or missing information to progress enrollment.

Conocimientos

Healthcare experience

Insurance verification

Prior authorizations

Payer portals

EHR / practice-management

Data entry

Attention to detail

Independent work

HIPAA compliance

Follow-up

Herramientas

AdvancedMD

Microsoft Teams

Time Doctor

VPN / remote-access

Phone systems

Payer portals

Patient intake portals

Descripción del empleo

GoLean Health is seeking an experienced bilingual back-office medical assistant to support a US nonprofit behavioral health organization. This remote role focuses on insurance verification, prior authorizations, intake, and enrollment to move patients through enrollment and prepare them for care.

You will work with AdvancedMD and payer portals, coordinate with front-desk staff, and ensure documentation is complete and accurate.