Job description
This is a remote position.
Only LATAM-based candidates (bilingual in Spanish and English)We are seeking an experiencedInsurance Verification & Authorization Specialistto support a busy U.S.-based medical practice. This role plays a critical part in daily operations by ensuring next-day patient readiness, accurate insurance verification, timely authorizations, and a smooth patient financial experience.
The ideal candidate is detail-oriented, proactive, and comfortable working in a fast-paced medical environment while collaborating closely with on-site teams.
Contract: Service Provision- Independant Contractor
Key Responsibilities
Performinsurance eligibility and benefits verificationfor next-day patients across multiple carriers
Confirm active coverage and accurately determinepatient financial responsibility(copays, deductibles, coinsurance) for visits, procedures, and treatments
Obtainreferrals and prior authorizationsfrom primary care physicians and insurance companies
Navigate and utilizehealth plan portals and insurance platformsefficiently
Collect payments fortelehealth visitswhen applicable
Communicate effectively with internal teams to ensure patient readiness and prevent delays, denials, or cancellations
Support general administrative and office-related duties as needed
Work collaboratively with other insurance verification specialists and on-site staff
Requirements
Minimum1 year of experiencein insurance verification within a medical office
Proven experience withreferrals and prior authorization processes
Strong understanding ofmedical terminology, includingCPT codes
Hands-on experience withinsurance portals and verification platforms
Excellent attention to detail and ability to meet daily deadlines
Ability to learn quickly and adapt in afast-paced environment
Strong teamwork skills and professional communication style
Customer service–oriented mindset
Preferred Qualifications:
Experience working withRheumatology practices
Familiarity with Medicare, Medicare Advantage, and commercial plans
Bilingual proficiency inEnglish and Spanish
Previous experience working remotely with U.S.-based medical offices
Benefits
100% Remote
Weekends OFF
Stable, long-term opportunity with a growing healthcare support company
Competitive compensation based on experience
Structured onboarding and ongoing support
Opportunity for professional growth and increased responsibilities based on performance
Collaborative and respectful remote work environment
Productivity bonus of 50 USD (paid in local currency)
Reliability bonus of 25 USD (paid in local currency)
Consecutive reliability bonus of 50 USD (paid in local currency)
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.