Bilingual Medical Administrator – English/Spanish

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

📋 Description

• Confirm patient insurance eligibility and benefits.

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

• Input laboratory results, referrals, provider notes, and other clinical documents.

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

• Aid in medical documentation and records management.

• Handle prescription refill requests.

• Collaborate with pharmacies on medication requests and prescription concerns.

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

• Track 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 regarding authorization outcomes.

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

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

• Maintain provider profiles within CAQH and credentialing systems.

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

• Keep an eye on provider licenses, DEA registrations, malpractice insurance, and credential expiration dates.

• Coordinate with providers, insurance companies, and patients.

• Support daily administrative workflows and office operations.

• 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 comparable healthcare support role.

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

• Experience with verifying insurance eligibility and benefits.

• Familiarity with EMR/EHR systems.

• Strong understanding of medical documentation and healthcare administrative processes.

• Exceptional attention to detail and organizational abilities.

• Capable of managing multiple priorities in a dynamic healthcare environment.

• Strong written and verbal communication skills.

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

🏝️ Benefits

• Fully remote opportunity

• Competitive hourly compensation

• Gain exposure to multiple areas of healthcare administration

• Collaborative and supportive work environment

• Ongoing learning and long-term career growth opportunities