Spanish Bilingual Medical Virtual Assistant

Responsibilities

• Verify patient insurance eligibility and benefits before scheduled appointments.
• Review deductibles, copays, coinsurance, and patient financial responsibility.
• Ensure insurance information is accurate and updated within the EHR/EMR.
• Document all eligibility verification activities accurately and thoroughly.
• Submit and obtain prior authorizations through insurance portals and payer websites.
• Monitor pending authorization requests and follow up with insurance companies as needed.
• Communicate authorization updates promptly to providers and clinic staff.
• Maintain accurate records of authorization status and supporting documentation.
• Create new patient charts and update existing medical records.
• Ensure patient demographics and insurance information remain complete and accurate.
• Maintain organized documentation within the electronic medical record system.
• Answer overflow inbound phone calls when the in-office team is unavailable.
• Assist patients with general inquiries in a courteous, professional, and empathetic manner.
• Route calls appropriately and ensure timely message delivery.
• Support the front office with insurance-related administrative tasks.
• Maintain strict HIPAA compliance and protect patient confidentiality at all times.

Qualifications

• Minimum 2 years of experience working in a U.S. healthcare setting.
• Hands‑on experience with insurance eligibility verification and prior authorization processing.
• Strong understanding of:
  • Commercial insurance plans
  • Deductibles
  • Copays
  • Coinsurance
  • Authorization requirements
• Experience using insurance portals and payer websites.
• Experience working with EHR/EMR systems (EasyDerm experience is a plus).
• Previous experience handling inbound patient phone calls in a medical office.
• Excellent English verbal and written communication skills with a professional phone presence.

Demonstrates expertise in insurance eligibility verification and prior authorization processing within a healthcare setting, ensuring compliance with HIPAA regulations while maintaining accurate patient records and effective communication with providers and patients.