Bilingual Medical Admin, English/Spanish

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

📋 Description

• Verify the eligibility and benefits of patient insurance.

• Keep patient demographics and electronic medical records (EMR/EHR) accurate.

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

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

• Assist with managing medical documentation and records.

• Process requests for prescription refills.

• Coordinate with pharmacies regarding medication requests and any prescription issues.

• Aid in medication prior authorizations, including submission, follow-up, status tracking, and managing denials.

• Monitor prescription statuses to guarantee timely patient care.

• Assist with prior authorizations for both medical procedures and pharmacies.

• Collect and submit necessary clinical documentation.

• Follow up with insurance companies on authorization decisions.

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

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

• Maintain provider profiles within CAQH and credentialing platforms.

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

• Keep track of provider licenses, DEA registrations, malpractice insurance, and expiration dates for credentials.

• Coordinate with providers, insurance companies, and patients.

• Support daily administrative workflows and office operations.

• Ensure confidentiality while managing sensitive patient information.

⛳️ Requirements

• 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 in verifying insurance eligibility and benefits.

• Familiarity with EMR/EHR systems.

• Strong understanding of medical documentation and healthcare administrative workflows.

• Excellent attention to detail and strong organizational skills.

• Ability to juggle multiple priorities in a fast-paced healthcare setting.

• Strong written and verbal communication abilities.

• Capacity to maintain strict confidentiality while handling protected health information (PHI).

🏝️ Benefits

• Fully remote position.

• Competitive hourly pay.

• Join a rapidly growing organization that supports healthcare providers across the United States.

• Gain exposure to various aspects of healthcare administration.

• Collaborative and supportive work culture.

• Opportunities for ongoing learning and long-term career advancement.