MV

Pre-Authorization & Referral Coordinator

My VA Support, Inc.Anguilla, Antigua and Barbuda + 43 more

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Companies in this catalog do not charge applicants. Never send money to apply.

This is a remote position.

Only LATAM-based candidates (bilingual in Spanish and English) We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced U.S.-based medical office .

This role is responsible for insurance verification, prior authorizations, and referral coordination while ensuring compliance with U.S. insurance guidelines. The ideal candidate has direct experience working within the U.S. healthcare system handling Medicare, Medicaid, and commercial insurance plans.

This is a full-time remote position supporting a medical practice located in the United States. The role is offered as an Independent Contractor opportunity.

Key Responsibilities

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MV

Pre-Authorization & Referral Coordinator

My VA Support, Inc.Anguilla, Antigua and Barbuda + 43 more

Apply now

Opens the original posting.

Apply now

Share job

Copy link or share on social media.

Apply on the original site

Companies in this catalog do not charge applicants. Never send money to apply.

This is a remote position.

Only LATAM-based candidates (bilingual in Spanish and English) We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced U.S.-based medical office .

This role is responsible for insurance verification, prior authorizations, and referral coordination while ensuring compliance with U.S. insurance guidelines. The ideal candidate has direct experience working within the U.S. healthcare system handling Medicare, Medicaid, and commercial insurance plans.

This is a full-time remote position supporting a medical practice located in the United States. The role is offered as an Independent Contractor opportunity.

Key Responsibilities

Verify active insurance coverage and review detailed benefits
Determine patient financial responsibility (copays, deductibles, coinsurance, out-of-pocket maximums)
Obtain and manage prior authorizations for procedures, imaging, and specialty services
Submit and track authorization requests through payer portals (Availity, UHC, Aetna, Cigna, etc.)
Review and attach required clinical documentation
Process and track internal and external referrals
Ensure compliance with HMO referral requirements
Enter and document authorization details in EMR/EHR systems
Follow up on pending authorizations and assist with resolving denials
Communicate insurance requirements and authorization status clearly to patients

Requirements

2+ years of experience in a U.S. medical office handling insurance verification and prior authorizations Proven hands-on experience obtaining authorizations independently (not only assisting) Strong knowledge of Medicare, Medicaid, and commercial plans (HMO, PPO, POS) Solid understanding of deductibles, copays, coinsurance, and out-of-pocket maximums Working knowledge of ICD-10 and CPT codes Experience using payer portals (Availity, UnitedHealthcare, Aetna, Cigna, etc.) Experience working with EMR/EHR systems High attention to detail and ability to manage high-volume workflows Strong English communication skills (written and verbal) Reliable high-speed internet connection (minimum 100 MB) Own laptop or desktop and professional headset