Virtual Prior Authorization Specialist (Bilingual English/Spanish)
Staffing for Doctors
$0-$0 / yr
Salary
peru
Region
ASAP
Start Date
About Staffing for Doctors
As the leading provider of HIPAA-compliant virtual medical assistants, we've helped over 500 healthcare practices optimize their operations and improve patient care through innovative staffing solutions. We are a team of medical virtual staffing experts transforming healthcare administration and improve patient care through innovative virtual staffing solutions.
About this Role.
We are seeking an experienced and detail-oriented Virtual Prior Authorization Specialist to support a busy healthcare practice. This role is responsible for managing prior authorizations, insurance verification, referral coordination, and communication with insurance carriers to ensure patients receive timely access to care.
Ideal Candidate
Understands the authorization process from start to finish.
Is proactive with insurance follow-up and case management.
Can effectively communicate with patients, providers, and insurance carriers.
Thrives in a fast-paced environment while maintaining accuracy.
Is reliable, accountable, and highly organized.
Key Responsibilities
Submit and track prior authorizations for procedures, medications, imaging, and specialty services.
Verify insurance eligibility, benefits, and authorization requirements.
Follow up with insurance carriers regarding pending authorizations and approvals.
Process and coordinate incoming and outgoing referrals.
Communicate authorization updates and insurance information to patients when appropriate.
Maintain accurate documentation and records within the EMR system.
Collaborate with providers, clinical staff, and insurance representatives to support patient care.
Requirements
Qualifications
Bilingual English/Spanish (Required).
Minimum 2 years of Prior Authorization experience.
Strong knowledge of insurance verification and authorization workflows.
Experience working with Commercial Insurance, Medicare, and Managed Care plans.
Excellent communication, customer service, and problem-solving skills.
Strong organizational skills and attention to detail.
Ability to work independently in a remote environment.
Preferred Qualifications
Experience with Epic and/or Acumen EMR.
Referral coordination experience.
Denials and appeals experience.
Specialty practice experience.
Medical terminology knowledge.
Experience in high-volume healthcare environments.
Benefits
Please note that this is a full-time contractor position (40 hours per week) with a pay rate of 6 - 7 per hour depending on skillset and experience. The schedule is Monday through Friday, from 9 AM to 5 PM US Time.