Job Details

Insurance Verification & Authorization Specialist

This is a remote position. Only LATAM-based candidates (bilingual in Spanish and English) We are seeking an experienced Insurance Verification & Authorization Specialist to 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:

• Perform insurance eligibility and benefits verification for next-day patients across multiple carriers
• Confirm active coverage and accurately determine patient financial responsibility (copays, deductibles, coinsurance) for visits, procedures, and treatments
• Obtain referrals and prior authorizations from primary care physicians and insurance companies
• Navigate and utilize health plan portals and insurance platforms efficiently
• Collect payments for telehealth visits when 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:

• Minimum 1 year of experience in insurance verification within a medical office
• Proven experience with referrals and prior authorization processes
• Strong understanding of medical terminology, including CPT codes
• Hands-on experience with insurance portals and verification platforms
• Excellent attention to detail and ability to meet daily deadlines
• Ability to learn quickly and adapt in a fast-paced environment
• Strong teamwork skills and professional communication style
• Customer service–oriented mindset

Preferred Qualifications:

• Experience working with Rheumatology practices
• Familiarity with Medicare, Medicare Advantage, and commercial plans
• Bilingual proficiency in English 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