Virtual Prior Authorization Specialist (Bilingual English/Spanish)

3 days, 3 hours ago
Contract
Junior
Customer and Technical Support
Staffing For Doctors

Staffing For Doctors

Staffing For Doctors provides virtual medical staffing solutions for healthcare practices, connecting them with top HIPAA-compliant candidates to enhance operational efficiency, reduce overhead costs, and improve patient care through dedicated virtual ...

Health Care Providers & Services
Founded 2025

Description

  • 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

  • Bilingual in English and Spanish is 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.
  • Experience with Epic and/or Acumen EMR is preferred.
  • Referral coordination experience is preferred.
  • Denials and appeals experience is preferred.
  • Specialty practice experience is preferred.
  • Medical terminology knowledge is preferred.
  • Experience in high-volume healthcare environments is preferred.

Benefits

  • Full-time contractor position (40 hours per week).
  • Pay rate of $6-$7 per hour depending on skillset and experience.
  • Monday through Friday schedule.
  • Set working hours of 9 AM to 5 PM US Time.

Interested in this position?

Apply directly on the company website

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