Bilingual Prior Authorization, Insurance Verification Specialist

Winning Assistants LLC

. Verify patient insurance eligibility, active coverage, benefits, effective dates, plan type, network status, copays, deductibles, coinsurance, out-of-pocket information, referral requirements, and authorization requirements .

Posted 9/17/2026full-timeRemote • Colombia, Mexico, Argentina, Nicaragua, El Salvador, HondurasMid-LevelSenior💰 $6 - $7 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in verifying patient insurance eligibility and managing prior authorizations, with a strong focus on communication with insurance representatives and maintaining detailed records. Proficient in utilizing relevant tools and technologies to ensure compliance with HIPAA and practice policies.

Highest-signal resume keywords

Insurance Eligibility VerificationPrior Authorization ManagementBilingual Communication (English and Spanish)Detailed Record KeepingEZ Derm Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Benefits VerificationPrior Authorization SubmissionDocumentation of Insurance CallsTracking Authorization StatusManaging Biologic Medication Authorizations

Soft Skills

Professional CommunicationAttention to DetailProblem-Solving

Tools & Technologies

EZ Derm3CXInsurance PortalsPayer SystemsTask Workflows

Certifications & Qualifications

NBI ClearanceLocal Police Clearance

Industry Keywords

HealthcareMedical PracticeHIPAA CompliancePatient Confidentiality

About the role

Key responsibilities & impact

Verify patient insurance eligibility, active coverage, benefits, effective dates, plan type, network status, copays, deductibles, coinsurance, out-of-pocket information, referral requirements, and authorization requirements
Document eligibility and benefit information in EZ Derm or the designated workflow
Communicate with insurance companies about eligibility, benefits, authorization requirements, and pending requests
Document insurance calls, including representative name, reference number, date and time, phone number, information obtained, and next action
Manage prior authorizations from submission through final resolution
Submit prior authorization requests with complete supporting documentation
Track status updates, additional information requests, approvals, denials, authorization numbers, approved codes, units, and date ranges
Manage prior authorizations for biologic medications
Create and maintain follow-up tasks for unresolved insurance and authorization items
Track pending items through completion, resolution, or escalation
Escalate clinical, financial, missing information, denial, delay, or decision-making concerns as appropriate
Handle insurance-related phone calls as the primary focus
Provide overflow patient call support as operational needs allow
Provide a daily End of Day report summarizing completed work and outstanding items
Maintain patient confidentiality and comply with HIPAA and practice policies
Use EZ Derm, 3CX, insurance portals, payer systems, task workflows, phone, email, and internal communication systems

Requirements

What you’ll need

Prior experience in a healthcare or medical practice setting
Fluency in both English and Spanish
Hands-on experience verifying insurance eligibility, benefits, coverage, plan details, and authorization requirements
Experience managing prior authorizations from submission through resolution
Experience speaking directly with insurance representatives by phone
Experience maintaining detailed records, creating follow-up tasks, tracking pending authorizations, and following unresolved items through completion
Must speak and write English clearly and professionally
Relevant work experience
Must provide an NBI Clearance and/or Local Police Clearance before onboarding
Must be available to attend video meetings with camera on when required
Reliable laptop or desktop computer
Stable high-speed internet connection of at least 25 Mbps
Noise-canceling headset
Working webcam
Quiet and professional work environment
Biologic medication prior authorization experience strongly preferred
EZ Derm experience preferred but not required
3CX or similar business phone system experience preferred but not required

Benefits

Comp & perks

Dedicated HR & Contractor Support Team
Premium VPN Access (Optional)
HIPAA & Cybersecurity Training + Certification (Provided)
Top 1% VA Performance Training
Client-Approved U.S. Holidays
Client-Approved Paid or Unpaid Time Off
Access to Tools & Resources
Optional Performance-Based Incentives