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Bilingual Medical Admin (English/Spanish)

Hire Emerald

Bilingual Medical Admin (English/Spanish) 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. 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.

Vacancy posted 4 days ago
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