# Virtual Prior Authorization Specialist (Bilingual English/Spanish)

**Company:** [Staffing for Doctors](http://jobs.workable.com/companies/gAA8yfeXYbnEZ4xxJycpWn.md)
**Location:** Remote
**Workplace:** remote
**Employment type:** Full-time

[Apply for this job](http://jobs.workable.com/view/ac36d7ac-8e30-47a0-beef-e355c49af17c)

## Description

We are seeking an experienced and detail-oriented **Virtual Prior Authorization Specialist** to support a busy healthcare practice. This role is responsible for managing prior authorizations, insurance verification, referral coordination, and communication with insurance carriers to ensure patients receive timely access to care.

### Ideal Candidate

-   Understands the authorization process from start to finish.
-   Is proactive with insurance follow-up and case management.
-   Can effectively communicate with patients, providers, and insurance carriers.
-   Thrives in a fast-paced environment while maintaining accuracy.
-   Is reliable, accountable, and highly organized.

### Key Responsibilities

-   Submit and track prior authorizations for procedures, medications, imaging, and specialty services.
-   Verify insurance eligibility, benefits, and authorization requirements.
-   Follow up with insurance carriers regarding pending authorizations and approvals.
-   Process and coordinate incoming and outgoing referrals.
-   Communicate authorization updates and insurance information to patients when appropriate.
-   Maintain accurate documentation and records within the EMR system.
-   Collaborate with providers, clinical staff, and insurance representatives to support patient care.

## Requirements

### Qualifications

-   Bilingual English/Spanish (Required).
-   Minimum 2 years of Prior Authorization experience.
-   Strong knowledge of insurance verification and authorization workflows.
-   Experience working with Commercial Insurance, Medicare, and Managed Care plans.
-   Excellent communication, customer service, and problem-solving skills.
-   Strong organizational skills and attention to detail.
-   Ability to work independently in a remote environment.

### Preferred Qualifications

-   Experience with Epic and/or Acumen EMR.
-   Referral coordination experience.
-   Denials and appeals experience.
-   Specialty practice experience.
-   Medical terminology knowledge.
-   Experience in high-volume healthcare environments.

## Benefits

**Please note that this is a full-time contractor position (40 hours per week) with a pay rate of $6 - $7 per hour depending on skillset and experience. The schedule is Monday through Friday, from 9 AM to 5 PM US Time.**