Bilingual Medical Admin, English/Spanish

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

📋 Description

• Provide vital administrative assistance to U.S.-based medical practices by overseeing patient records.

• Confirm insurance eligibility.

• Manage prior authorization processes.

• Facilitate prescription workflows.

• Keep up-to-date provider credentialing documentation.

• Ensure the precision and compliance of medical records.

• Aid in medical documentation and record management.

• Handle prescription refill requests.

• Liaise with pharmacies concerning medication requests and prescription challenges.

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

• Monitor prescription statuses to guarantee timely patient care.

• Support both medical/procedure and pharmacy prior authorizations.

• Collect and submit necessary clinical documentation.

• Follow up with insurance companies on authorization outcomes.

• 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.

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

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

• Coordinate with providers, insurance companies, and patients.

• Support daily administrative operations and office workflows.

• Uphold 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 both English and Spanish (written and verbal).

• Experience in insurance eligibility verification and benefits.

• Familiarity with EMR/EHR systems.

• Strong understanding of medical documentation and healthcare administrative processes.

• Excellent attention to detail and organizational capabilities.

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

• Strong written and verbal communication skills.

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

🏝️ Benefits

• Fully remote position.

• Competitive hourly salary.

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

• Gain exposure to various aspects of healthcare administration.

• Work in a collaborative and supportive environment.

• Access to ongoing learning and long-term career advancement opportunities.