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.

Preferred Experience

• Chronic Care Management (CCM).
• Prior authorizations and insurance verification.
• Referral coordination and patient follow-ups.
• Patient intake and clinical documentation.
• Laboratory orders, results follow-up, and medical records management.
• Familiarity with Office Ally or similar EHR/EMR platforms.
• Experience with RingCentral or similar patient communication systems.

Ideal Candidate

The ideal candidate has a strong clinical background and at least 3 years of clinical care coordination experience supporting U.S.-based healthcare practices. They have a solid understanding of U.S. healthcare workflows and insurance processes, excellent administrative and patient communication skills, and the ability to coordinate patient care, document clinical information, communicate with healthcare providers, and follow up on outstanding tasks to ensure continuity of care.