Bilingual Medical Virtual Assistant

Key Responsibilities:

• Answer and professionally manage inbound patient calls.
• Schedule, reschedule, and confirm patient appointments.
• Register new patients and update demographic and insurance information.
• Verify patient insurance eligibility, benefits, copays, and deductibles.
• Greet patients and provide excellent customer service.
• Respond to patient inquiries and resolve concerns professionally.

Prior Authorizations:

• Determine when medications or services require prior authorization.
• Collect and review clinical documentation needed for authorization requests.
• Submit prior authorization requests through insurance portals, phone, or fax.
• Monitor authorization status and follow up with insurance companies.
• Notify patients of authorization outcomes and any financial responsibility.
• Assist with appeals by gathering additional documentation when required.

Medical Billing Support:

• Review patient information for billing accuracy.
• Assist with claim preparation and submission.
• Monitor claim status and follow up on denials or delayed payments.
• Post insurance and patient payments accurately.
• Support end-of-day reconciliation and billing reports.
• Maintain accurate billing documentation within the practice management system.

Administrative Support:

• Maintain accurate patient records within the EMR/EHR.
• Complete daily activity logs and authorization tracking logs.
• Generate and review end-of-day operational reports.
• Support providers and office staff with general administrative tasks.
• Ensure compliance with HIPAA and all office policies and procedures.