Bilingual Prior Authorization & Insurance Verification Specialist
Core
Verify patient insurance eligibility, manage prior authorizations, and handle insurance-related phone communications for a dermatology practice.
Role type
Bilingual healthcare administrative specialist (prior authorization & insurance verification)
Builds
Insurance eligibility confirmations, prior authorization approvals/denials, and patient call support
Domain
Healthcare / Dermatology / Insurance Administration
Deliverable
client delivery
Required skills
Insurance eligibility verification, prior authorization management, biologic medication authorization tracking, insurance phone communication, bilingual English/Spanish fluency, detailed documentation, task follow-up
Preferred skills
Biologic medication prior authorization experience, EZ Derm platform experience, 3CX phone system experience
Technologies
EZ Derm, 3CX, Insurance portals, Payer systems
Responsibilities
Verify patient insurance eligibility and benefits; Communicate directly with insurance representatives via phone; Submit and track prior authorization requests; Document all interactions and maintain accurate records; Provide overflow patient call support; Generate daily end-of-day reports on authorization status and pending items.