Bilingual Medical Admin – English/Spanish

This is a fully remote position, open to applicants in Dominican Republic.

📋 Description

• Verify patient insurance eligibility and benefits.

• Maintain precise patient demographics and electronic medical records (EMR/EHR).

• Upload laboratory results, referrals, provider notes, and other clinical documentation.

• Ensure patient charts are complete, accurate, and compliant with healthcare regulations.

• Assist in medical documentation and record management.

• Process requests for prescription refills.

• Coordinate with pharmacies concerning medication requests and prescription issues.

• Assist with medication prior authorizations, including submission, follow-up, status tracking, and denial management.

• Monitor prescription statuses to ensure timely patient care.

• Assist with both medical/procedure and pharmacy prior authorizations.

• Collect and submit necessary clinical documentation.

• Follow up with insurance companies regarding authorization decisions.

• Track pending authorizations, denials, appeals, and additional documentation requests.

• Assist with provider enrollment for Medicare, Medicaid, and commercial insurance plans.

• Maintain provider profiles within CAQH and credentialing platforms.

• Track the progress of credentialing applications and provider enrollment status.

• Monitor provider licenses, DEA registrations, malpractice insurance, and credential expiration dates.

• Coordinate with providers, insurance companies, and patients.

• Support daily administrative workflows and office operations.

• Maintain confidentiality while managing sensitive patient information.

⛳️ Requirements

• A minimum of 1 year of experience in Medical Administration, Medical Reception, Medical Virtual Assistance, Medical Records, Prior Authorizations, Credentialing, or a comparable healthcare support role.

• Advanced bilingual proficiency in English and Spanish (both written and verbal).

• Experience with insurance eligibility verification and benefits.

• Familiarity with EMR/EHR systems.

• Strong understanding of medical documentation and healthcare administrative workflows.

• Exceptional attention to detail and organizational skills.

• Ability to manage multiple priorities in a fast-paced healthcare environment.

• Strong written and verbal communication skills.

• Ability to uphold strict confidentiality when handling protected health information (PHI).

🏝️ Benefits

• Fully remote opportunity.

• Competitive hourly compensation.

• Become part of a rapidly growing organization that supports healthcare providers across the United States.

• Gain exposure to various areas of healthcare administration.

• Enjoy a collaborative and supportive work environment.

• Access ongoing learning and long-term career growth opportunities.