Offer summary

Qualifications:

1-2 years of experience in insurance verification or medical billing., Fluent in Mexican Spanish and English with excellent communication skills., Strong knowledge of U.S. insurance systems, including PPO and Medicare., Familiarity with HIPAA compliance and experience using EMR systems, preferably PromptEMR..

Key responsibilities:

Verify patients’ insurance eligibility and benefit coverage through various tools.

Accurately complete insurance verification documentation for all clients.

Communicate verification results with the internal team and update patient records.

Collaborate with insurance companies to resolve coverage issues and assist patients with their benefits.

Job description

Role Overview:
We are seeking a detail-oriented, bilingual Insurance Verification Specialist to join our remote team. In this role, you will be responsible for verifying and confirming patients’ insurance coverage to ensure accurate billing and seamless patient care. This is a remote position based in Mexico, and the ideal candidate will have prior experience in insurance verification, excellent communication skills, and strong attention to detail.

Key Responsibilities:

Verify patients’ insurance eligibility and benefit coverage through portals, phone calls, emails, and other available tools
Accurately complete insurance verification documentation for all PPO & Medicare clients
Document and interpret details such as coverage limits, copayments, deductibles, out-of-pocket maximums, and exclusions
Enter accurate insurance information into the PromptEMR system (Payer Tab)
Communicate verification results with the internal team via PromptEMR and Gmail
Update patient records consistently and ensure real-time accuracy
Collaborate with insurance companies to resolve coverage issues
Assist patients in understanding their benefits and respond to related questions
Ensure full compliance with HIPAA and all applicable healthcare regulations
Stay current with insurance policy updates and payer requirements
Maintain detailed documentation for auditing and internal reporting

Requirements

1-2 years of relevant experience in insurance verification or medical billing
Fluent in Mexican Spanish.
Strong knowledge of U.S. insurance systems (PPO, Medicare, etc.)
Experience using EMR systems, preferably PromptEMR
Familiarity with HIPAA compliance and healthcare documentation practices
Excellent attention to detail, problem-solving, and communication skills
Ability to work independently in a remote environment
Reliable internet connection and access to a working laptop

Key Qualities We’re Looking For:

Bilingual: Excellent verbal and written communication skills in both English and Spanish (Mexican Spanish preferred)
Extraordinary Hospitality: A warm, professional, and service-oriented approach to both team and patient interactions
Problem Solver: Resourceful and proactive in resolving issues with minimal supervision
Willingness to Learn: Open to feedback and eager to grow in a fast-paced, evolving environment
Strong Collaboration: Comfortable working closely with a talented international team and participating in multiple team meetings daily

Benefits

Client Relationship : You will be directly working with the client. This means that you will communicate with the client, provide services, and address any client-related matters independently.
Payments : All payments for your services will be handled by the client. Elevate and Delegate is not involved in processing your payroll. Your salary will directly go to you.
Vacation Leaves and Holidays : While we may have recommendations or guidelines regarding vacation leaves and holidays, the decision is entirely at the discretion of the client. You are expected to align your schedule with the client’s business needs and any specific policies or preferences they may have in this regard.

Salary : $1,280 – $1,600 USD/month