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Bilingual Healthcare Prior Authorization & Insurance Verification
Location
Latin America (LATAM) + 1 moreAll locations: Latin America (LATAM) | Southern Asia
Posted
11 days ago
Salary
$5 - $6 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Bilingual Healthcare Prior Authorization & Insurance Verification
Winning Assistants
Role Description We are seeking an experienced Healthcare Virtual Assistant to support a busy vascular surgery practice with prior authorizations, insurance verification, referrals, patient estimates, and medical records coordination. This role requires someone who can work independently, think critically, and manage multiple time-sensitive requests while maintaining accuracy and professionalism. The ideal candidate has extensive experience working with U.S. healthcare practices and is highly skilled in authorization workflows, insurance verification, CPT coding review, and clinical documentation support. Core Responsibilities - Prior Authorization Management (Top Priority) - Manage prior authorizations for vascular surgery procedures - Submit and track radiology authorizations (CT, MRI, MRA, CTA, Ultrasound) - Monitor authorization requests and update CPT codes when procedures change - Prepare and submit authorization letters and supporting documentation - Communicate with insurance companies regarding approvals, denials, modifications, and status updates - Manage TriWest and Veteran authorization requests - Review patient charts and gather supporting clinical documentation for insurance submissions - Collaborate with providers and nurses to obtain missing clinical information - Insurance Verification, Referrals & Patient Estimates (Top Priority) - Verify insurance eligibility and patient benefits - Handle HMO referrals and referral follow-ups - Review patient notes and identify appropriate CPT codes - Generate patient cost estimates based on CPT codes and insurance coverage - Verify copays, deductibles, and out-of-pocket expenses - Assist with patient billing inquiries and insurance-related questions - Medical Records & Clinical Documentation Coordination (Top Priority) - Process and follow up on medical record requests - Ensure imaging reports, laboratory results, and medical records are received before appointments - Review clinical notes and extract relevant information for authorizations - Maintain accurate documentation within the EHR/EMR system - Monitor internal communications and respond to authorization-related requests in real time - Additional Administrative Support - Follow up on billing claims and insurance issues - Manage documentation related to referrals, insurance, billing, and patient records - Provide administrative support for healthcare operations and scheduling workflows Qualifications - Extensive experience with prior authorizations is required - Extensive experience with insurance verification and benefits verification is required - Experience managing HMO referrals and authorization workflows is required - Strong understanding of CPT codes and medical billing processes is required - Experience working with U.S. healthcare practices is required - Healthcare administrative experience is required - Experience with vascular surgery, specialty care, or radiology authorizations is highly preferred - Previous virtual assistant experience preferred but not required Requirements - Strong understanding of prior authorization processes - Experience handling radiology authorizations (CT, MRI, MRA, CTA, Ultrasound) - Ability to review clinical notes and gather supporting documentation - Experience with patient estimates and insurance benefit verification - Strong documentation and record management skills - Proficiency with EHR/EMR systems - Strong critical thinking and problem-solving abilities - Excellent organizational and time management skills - Ability to manage multiple authorization requests simultaneously - Strong communication skills with insurance companies, providers, nurses, and patients - Ability to work independently with minimal supervision - Strong sense of urgency and follow-through Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.
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• Consult with clients to assess their insurance needs & recommend suitable coverage • Educate clients on policy options and help them make informed decisions • Manage the full sales cycle from prospecting to closing deals • Maintain relationships with clients and provide ongoing policy support • Stay up to date with industry trends and product knowledge
• Identify client needs and recommend tailored insurance solutions • Develop and maintain strong client relationships • Generate leads through networking, referrals, and company-provided resources • Educate clients on available policies and coverage options • Follow up with prospects to close sales and maintain customer satisfaction • Stay informed about industry trends and product offerings • Work independently while collaborating with a supportive team


