Bilingual Medical Admin (English/Spanish)

★ PLEASE SUBMIT YOUR CV IN ENGLISH ★ Bilingual Medical Admin (English/Spanish) Location: Remote — Costa Rica Work Arrangement: This is a fully remote (telecommute) position. Employment Type: Full-Time (Contractor) Number of Openings: 20 Positions Industry: Healthcare Services Compensation: $1.280 USD/month English Proficiency: Advanced (C1/C2) – Excellent written and verbal communication skills in both English and Spanish are required. Schedule: Full-Time | US Business Hours Start Date: As Soon As Possible About the Company This opportunity is with a rapidly growing U.S.-based healthcare support organization that partners with medical practices across the United States to provide highly skilled remote administrative, clinical support, and operational professionals. The company is committed to helping healthcare providers improve efficiency, reduce administrative burdens, and deliver exceptional patient care through reliable virtual staffing solutions. Known for its collaborative culture and commitment to professional development, the organization invests in training, technology, and long-term career growth for its remote workforce. Team members have the opportunity to support a wide variety of medical specialties while working alongside healthcare professionals dedicated to improving patient outcomes. As the company continues expanding nationwide, it is growing its remote healthcare operations team to support an increasing number of physicians and medical practices across the U.S. About the Role We're looking for a highly organized and detail-oriented Bilingual Medical Admin (English/Spanish) to join a growing healthcare support team. In this role, you'll provide essential administrative support to U.S.-based medical practices by managing patient records, verifying insurance eligibility, coordinating prior authorizations, supporting prescription workflows, maintaining provider credentialing documentation, and ensuring the accuracy and compliance of medical records. This position is ideal for someone who enjoys working in a fast-paced healthcare environment, values organization and accuracy, and is passionate about providing exceptional administrative support that contributes to quality patient care. What You'll Do Patient Administration & Medical Records • Verify patient insurance eligibility and benefits. • Maintain accurate patient demographics and electronic medical records (EMR/EHR). • Upload laboratory results, referrals, provider notes, and other clinical documentation. • Ensure patient charts remain complete, accurate, and compliant with healthcare regulations. • Assist with medical documentation and record management. Medication & Prescription Support • Process prescription refill requests. • Coordinate with pharmacies regarding medication requests and prescription issues. • Assist with medication prior authorizations, including submission, follow-up, status tracking, and denial management. • Monitor prescription statuses to ensure timely patient care. Prior Authorization Support • Assist with both medical/procedure and pharmacy prior authorizations. • Gather and submit required clinical documentation. • Follow up with insurance companies regarding authorization decisions. • Track pending authorizations, denials, appeals, and additional documentation requests. Credentialing & Provider Support • Assist with provider enrollment for Medicare, Medicaid, and commercial insurance plans. • Maintain provider profiles within CAQH and credentialing platforms. • Track credentialing application progress and provider enrollment status. • Monitor provider licenses, DEA registrations, malpractice insurance, and credential expiration dates. Administrative Support • Coordinate with providers, insurance companies, and patients. • Support daily administrative workflows and office operations. • Maintain confidentiality while handling sensitive patient information. What We're Looking For Required Qualifications • At least 1 year of experience in Medical Administration, Medical Reception, Medical Virtual Assistance, Medical Records, Prior Authorizations, Credentialing, or a similar healthcare support role. • Advanced bilingual proficiency in English and Spanish (written and verbal). • Experience with insurance eligibility verification and benefits. • Experience working with EMR/EHR systems. • Strong knowledge of medical documentation and healthcare administrative workflows. • Excellent attention to detail and organizational skills. • Ability to manage multiple priorities in a fast-paced healthcare environment. • Strong written and verbal communication skills. • Ability to maintain strict confidentiality while handling protected health information (PHI). Preferred Qualifications • Experience supporting U.S. healthcare providers or medical practices. • Experience with medical and pharmacy prior authorizations. • Experience with provider credentialing and enrollment. • Familiarity with CAQH, Medicare, Medicaid, and commercial insurance processes. • Knowledge of HIPAA compliance and healthcare documentation standards. Candidate Evaluation Considerations To ensure success in this role, the following factors will be carefully evaluated during the selection process: • Accuracy and attention to detail when managing patient records and documentation. • Experience supporting U.S. healthcare administrative operations. • Knowledge of insurance verification, prior authorizations, credentialing, and EMR/EHR systems. • Strong organizational and multitasking abilities. • Professional communication skills in both English and Spanish. • Ability to work independently while maintaining exceptional service standards. • Professionalism, accountability, and commitment to patient confidentiality. What Success Looks Like • Patient records remain accurate, complete, and compliant. • Insurance eligibility and authorization requests are processed efficiently. • Providers receive reliable administrative support that improves operational efficiency. • Documentation is maintained according to healthcare compliance standards. • Patients, providers, and insurance partners receive timely and professional communication. • Administrative workflows are completed accurately and efficiently. Why Join Us? • Fully remote opportunity. • Competitive hourly compensation. • Join a fast-growing organization supporting healthcare providers across the United States. • Gain exposure to multiple areas of healthcare administration. • Collaborative and supportive work environment. • Ongoing learning and long-term career growth opportunities. Important Notes Applications may receive priority consideration if candidates: • Have previous experience supporting U.S. healthcare practices . • Have experience with insurance verification, prior authorizations, credentialing, or EMR/EHR systems . • Possess advanced bilingual English and Spanish communication skills . • Are available to work during US Business Hours . This is a fully remote (telecommute) position.