Job Overview

Our client is looking for a key point of coordination for Spanish Bilingual Medical Authorizations Representative, handling all administrative aspects of treatment authorizations and physician referrals. The primary focus is ensuring timely follow-up on pending and revised authorizations, processing determinations, and maintaining accurate case trackers. Daily communication—both email and phone—will also be managed while distributing essential medical reports and work status updates. This role requires strong organizational skills, attention to detail, and the ability to keep multiple cases moving forward efficiently.

Schedule: Monday - Friday, 8:30 AM - 5:00 PM US Pacific Time, with 30-minute unpaid break (40 work hours per week)

Responsibilities

• Handle extension requests for ongoing treatments or services
• Handle all revised authorizations for out-of-office referrals
• Follow up on pending and revised authorizations
• Follow up on: Secondary Treating Physician (STP) requests, Primary Treating Physician (PTP) requests
• Process all determinations received by EDATA
• Send Work Status (WS) reports and Medical Records (MRs) from the end-of-day list
• Update WC TRACKERS
• Respond to incoming emails and answer incoming phone calls

Requirements

• Must speak and understand Spanish fluently
• HMO and PPO or insurance experience is a plus
• Must have a dual monitor set-up
• Must have a free Adobe account
• Must have a quiet working environment
• Must have experience in the medical field or healthcare industry
• Good communication skills
• Excellent customer service skills
• Strong organizational and time management abilities
• Ability to work independently and remotely
• Proficiency in Microsoft Teams
• Experience with JotForms or similar software is preferred, but not required

Independent Contractor Perks

• Health Insurance Coverage for eligible locations
• Permanent work from home
• Immediate hiring

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

One application, multiple possibilities:

When you apply, our team reviews your background against all current openings, not just this one! If a different role fits your skills, we'll get in touch! We also encourage you to keep exploring our job board and apply directly to any position that excites you.