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Bilingual Medical Admin, English/Spanish
Entrepreneur CooperativeBilingual Medical Admin providing essential administrative support to U.S.-based medical practices. Responsibilities include managing patient records and verifying insurance eligibility in a remote environment.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical administration, including insurance eligibility verification, EMR/EHR management, and prior authorization processes. Proficient in maintaining patient confidentiality and managing healthcare documentation in compliance with regulations.
Highest-signal resume keywords
Medical Administration ExperienceInsurance Eligibility VerificationEMR/EHR Systems ProficiencyBilingual Proficiency in English and SpanishAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical DocumentationPrior AuthorizationsCredentialingPatient Demographics ManagementPrescription Refill ProcessingClinical Documentation SubmissionProvider EnrollmentHealthcare Regulations ComplianceTracking Authorization StatusManaging Protected Health Information (PHI)
Soft Skills
Organizational SkillsCommunication SkillsConfidentiality MaintenanceMulti-Priority ManagementInterpersonal Skills
Tools & Technologies
CAQHCredentialing PlatformsEMR SystemsEHR Systems
Industry Keywords
Healthcare AdministrationPatient CareMedical RecordsInsurance PlansPharmacy Coordination
About the role
Key responsibilities & impact- 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.
- 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.
- 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.
- 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.
- Coordinate with providers, insurance companies, and patients.
- Support daily administrative workflows and office operations.
- Maintain confidentiality while handling sensitive patient information.
Requirements
What you’ll need- 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).
Benefits
Comp & perks- Fully remote opportunity
- Competitive hourly compensation
- Collaborative and supportive work environment
- Ongoing learning and long-term career growth opportunities