Bilingual Virtual Referral & Prior Authorization Coordinator

This is a fully remote position, open to applicants in Brazil, +6 more countries.

📋 Description

• Prepare and submit referrals utilizing eClinicalWorks (eCW).

• Confirm patient and insurance information.

• Attach required clinical documentation.

• Follow up with specialist offices and monitor referrals until completion.

• Verify requirements for prior authorization.

• Submit requests via insurance payor portals.

• Collect supporting clinical records and keep track of deadlines.

• Escalate any claim denials as necessary.

• Keep both providers and patients updated on referral statuses.

• Manage inbound and outbound calls using Weave.

• Schedule appointments for patients.

• Process patient intake and registration.

• Update patient demographic information.

• Confirm insurance coverage.

• Handle follow-up messages efficiently.

⛳️ Requirements

• Recent, hands-on experience with eClinicalWorks (eCW) in a US-based medical practice is required.

• Demonstrated ability to manage full-cycle referrals and insurance prior authorizations independently.

• Bilingual in English and Spanish with a clear and professional command of spoken English.

• Direct experience with US medical practices, preferably in Primary Care or Family Medicine.

• Openness to expanding responsibilities to include phone management, patient scheduling, and front-desk reception tasks.

• Strong understanding of medical terminology, insurance communication, and strict adherence to HIPAA guidelines.

• Familiarity with Weave VoIP phone systems is a plus.

• Experience handling high-volume referrals and prior authorizations is an advantage.

• Background in insurance benefits verification and front-desk patient reception is preferable.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and growth.

• Supportive work environment with a dedicated team.