Bilingual Medical Admin, English/Spanish

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

📋 Description

• Confirm patient insurance eligibility and benefits.

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

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

• Guarantee that patient charts are complete, precise, and meet healthcare compliance standards.

• Aid in medical documentation and the management of records.

• Process requests for prescription refills.

• Collaborate with pharmacies on medication requests and prescription-related issues.

• Assist with prior authorizations for medications, including submission, follow-ups, tracking status, and managing denials.

• Monitor the status of prescriptions to ensure prompt patient care.

• Support both medical/procedure and pharmacy prior authorizations.

• Collect and submit necessary clinical documentation.

• Follow up with insurance companies regarding their authorization decisions.

• Keep track of pending authorizations, denials, appeals, and requests for additional documentation.

• Assist with the enrollment of providers for Medicare, Medicaid, and various commercial insurance plans.

• Maintain provider profiles on CAQH and credentialing platforms.

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

• Oversee provider licenses, DEA registrations, malpractice insurance, and expiration dates of credentials.

• Coordinate efforts among providers, insurance companies, and patients.

• Support daily administrative workflows and operations within the office.

• Uphold 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 related healthcare support position.

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

• Experience in verifying insurance eligibility and understanding benefits.

• Familiarity with EMR/EHR systems.

• Comprehensive knowledge of medical documentation and healthcare administrative processes.

• Exceptional attention to detail and strong organizational abilities.

• Capability to manage multiple tasks in a dynamic healthcare setting.

• Excellent written and verbal communication skills.

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

🏝️ Benefits

• Fully remote work opportunity.

• Competitive hourly wage.

• Collaborative and supportive working environment.

• Continuous learning and opportunities for long-term career advancement.