Bilingual Clinical Care Coordinator

Bilingual Clinical Care Coordinator (English/Spanish).
Employment Type: Full-Time / Part-Time.
Work Arrangement: Fully Remote | Independent Contractor.
Schedule: U.S. Business Hours.

About the Role:
- One of our clients is looking for a Bilingual Clinical Care Coordinator with at least 3 years of experience in clinical care coordination supporting U.S.-based healthcare practices.
- The role involves coordinating patient care, communicating with patients and healthcare providers, managing clinical documentation, following up on referrals and medical orders, assisting with insurance verification and prior authorizations, and supporting ongoing patient care activities within the U.S. healthcare system.

Key Responsibilities:
- Coordinate patient care, appointments, referrals, treatment plans, and follow-up activities.
- Communicate with English-speaking and Spanish-speaking patients regarding appointments, care needs, and follow-ups.
- Assist with patient intake and maintain accurate patient information in EHR/EMR systems.
- Document patient interactions, clinical information, and provider instructions accurately.
- Coordinate referrals, specialist appointments, laboratory orders, imaging, and medical records requests.
- Follow up on outstanding medical records, laboratory results, referrals, and authorizations.
- Assist with U.S. health insurance eligibility checks, benefits verification, and prior authorization requests.
- Support prescription and refill requests by coordinating with the appropriate healthcare providers and pharmacies.
- Conduct patient follow-up calls and assist with ongoing care management, including Chronic Care Management (CCM), when required.
- Identify patient concerns requiring clinical attention and escalate them to the appropriate healthcare provider.
- Maintain accurate and confidential patient records in accordance with HIPAA requirements.

Requirements:
- At least 3 years of experience in clinical care coordination supporting U.S.-based healthcare practices.
- Previous experience supporting U.S.-based healthcare practices, with a solid understanding of U.S. healthcare workflows and insurance processes.
- Clinical background required.
- Candidates with professional training or experience as a nurse, physician, or physician assistant are encouraged to apply.
- Fluency in both English and Spanish, with strong verbal and written communication skills.
- Strong understanding of medical terminology and clinical workflows.
- Experience with EHR/EMR systems and clinical documentation.
- Experience coordinating patient care, referrals, follow-ups, and medical records.
- Familiarity with U.S. health insurance verification, eligibility checks, benefits verification, and prior authorizations.
- Strong administrative, organizational, documentation, and patient communication skills.
- Ability to coordinate effectively with patients, healthcare providers, insurance companies, and other members of the care team.
- Ability to work independently in a remote environment while managing multiple priorities.
- Understanding of HIPAA and patient confidentiality requirements.

Location: Remote - Colombia, Spain, Mexico, Venezuela, El Salvador, Nicaragua, Argentina

Skills required for this job:

• Care coordination
• Clinical documentation
• Electronic medical records (EMR)
• Health Insurance Portability and Accountability Act (HIPAA)
• Insurance verification
• Medical terminology
• Patient care
• Prior authorization
• Referral management