[Hiring] Bilingual Medical Admin Specialist @Winning Assistants

Role Description

We are looking for an experienced Bilingual Medical Administrative Specialist who is comfortable taking ownership of prior authorizations, insurance verification, medical clearance follow-ups, scheduling support, and patient communication.

• Process and manage prior authorization requests from start to finish.
• Track pending authorizations and proactively follow up on outstanding cases.
• Maintain accurate status updates and ensure cases continue moving forward.
• Notify the scheduling team as soon as cases have been cleared and are ready for scheduling.
• Identify delays or missing information and take appropriate follow-up action.
• Verify patient insurance eligibility, coverage, and benefits.
• Review and confirm insurance information before appointments and procedures.
• Handle insurance verification involving Medicare patients and Medicare-related requirements.
• Communicate with insurance companies when additional information or clarification is required.
• Document verification results accurately within the practice's workflow.
• Contact cardiologist offices to request required medical clearances.
• Follow up consistently on outstanding clearance requests.
• Track the status of each clearance and maintain accurate documentation.
• Coordinate with internal team members once clearances are received.
• Assist the scheduling team by identifying patients and cases that are cleared and ready to schedule.
• Help coordinate appointments and communicate scheduling information.
• Work closely with authorization and clinical workflows to prevent unnecessary scheduling delays.
• Communicate professionally with patients in both English and Spanish.
• Contact patients regarding appointments, scheduling, insurance, prior authorizations, medical clearances, and other administrative requirements.
• Provide clear and courteous explanations while maintaining a positive patient experience.
• Provide virtual front-desk and receptionist support when needed.
• Assist with patient-facing administrative responsibilities.
• Help route questions and administrative needs to the appropriate team member.
• Support the Practice Manager and other team members with day-to-day administrative needs.
• Step into different responsibilities as priorities and workflows change.
• Learn and follow the practice's established processes while looking for opportunities to keep work organized and moving efficiently.

Qualifications

• Previous healthcare industry experience.
• Hands-on experience with prior authorizations.
• Experience performing insurance eligibility and benefits verification.
• Familiarity with Medicare processes and requirements.
• Professional fluency in English and Spanish, both written and verbal.
• Strong organizational and follow-up skills with excellent attention to detail.
• Excellent written and verbal communication skills, particularly when communicating with patients, insurance representatives, and provider offices.
• Ability to manage multiple open cases and priorities without losing track of important follow-ups.
• Proactive and self-sufficient working style with the ability to perform effectively with minimal micromanagement.
• Flexibility and adaptability—you should be comfortable wearing multiple hats and supporting different team members as priorities change.
• Ability to learn new processes and workflows quickly.
• Comfortable working independently in a remote environment.

Requirements

• Must speak and write English clearly and professionally.
• Must have relevant work experience.
• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
• Must be available to attend video meetings with camera on when required.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: Stable high-speed internet connection (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.

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.