Guayaquil, Provincia del Guayas Prime Heart and Vascular, PLLC

Bilingual Medical VA (with Medical Billing experience)

Client: Rheumatology Clinic

Hours: 30 hours/week | Location: Remote

Languages: English + Spanish

Pay: $6.50 USD/hour (weekly payouts)

Performance-based increase after 3 months.

Overview

We are hiring a licensed Medical Doctor (MD) or Nurse Practitioner (NP) to serve as a Bilingual Medical Virtual Assistant supporting a U.S. rheumatology practice. This role is 70% medical billing, with the remaining time focused on appointment scheduling and balance collection.

This role requires strong clinical judgment, high initiative, clear communication, and the ability to work at a fast clinic pace without needing constant direction.

What success looks like

You will be successful if you consistently:

  • Switch smoothly between billing tasks and live admin needs without losing follow-through
  • Stay active in team chat and proactively take ownership of tasks (not waiting to be told)
  • Communicate in concise, direct updates (written and verbal)
  • Translate accurately and safely, escalating clinical questions instead of improvising
  • Protect patient experience through professionalism, accuracy, and proper documentation

Key responsibilities

A) Medical Billing (primary)

  • Support billing workflow: claim preparation, basic coding support, payment posting, claim status checks
  • Assist in correcting and resubmitting denied/rejected claims with direction from the main biller
  • Perform insurance verification and eligibility checks for billing-related needs
  • Provide reliable coverage for billing tasks during the main biller's PTO, following established processes
  • Maintain accurate documentation aligned with HIPAA/BAA standards

B) Administrative and Front Office Support (as needed)

  • Handle inbound and outbound calls in English and Spanish
  • Support appointment scheduling, confirmations, cancellations, and reschedules
  • Assist with prior authorization coordination and insurance-related follow-ups
  • Manage patient messages, email handling, routing, and follow-up tasks
  • Collaborate with office staff and other VAs to keep workflows organized and moving

Required qualifications (must-have)

  • MD or Nurse Practitioner credential (required)
  • Strong English and Spanish communication (spoken and written)
  • Demonstrated experience working in a clinical setting and coordinating patient care workflows
  • Experience supporting medical billing processes (claims, denials, eligibility, payment posting, follow-ups)
  • Strong multitasking ability in a fast-paced clinic environment
  • High ownership and initiative: proactive in chat, follows through, escalates blockers early
  • Detail-oriented, accurate, and reliable with patient-facing communication
  • Comfort working remotely with stable internet, professional workspace, and HIPAA readiness

Preferred qualifications

  • Specialty clinic experience (rheumatology a plus)
  • Experience with U.S. insurance workflows and prior authorizations
  • EMR/EHR familiarity and strong documentation habits (NexTech EMR)
  • Microsoft Teams for communication, RingCentral for dialer
  • Ability to break down tasks into clear steps and improve workflows over time

Work style expectations

  • Proactive support: you step in and help without needing repeated prompts
  • Clear communication: short, direct updates that answer the question
  • Integrity and accuracy: patient notes and updates match what was said and documented
  • Patient-first mindset: professional, calm, and safety-focused at all times

Please complete this form so we can process your application faster:

Job Type: Part-time

Pay: $6.50 per hour

Expected hours: 30 per week



  • Guayaquil, Provincia del Guayas Prime Heart and Vascular, PLLC $63.000 per year

    We are hiring a licensed Medical Doctor (MD) or Nurse Practitioner (NP) to serve as a Bilingual Medical Virtual Assistant supporting a U.S. rheumatology practice. · ...


  • Guayaquil American Call Center $100.000 - $120.000 per year

    We Are Hiring: · BILINGUAL CALL CENTER AGENT · Are you ready to boost your career in sales while using your English skills? Join our dynamic team and grow with us · About the role:As a Bilingual Call Center Agent, you will be responsible for managing customer interactions in Engl ...

  • Claims Manager

    hace 3 semanas


    Guayaquil Best Doctors Insurance

    The Claims FWA Manager is responsible for leading initiatives to detect prevent and mitigate fraud waste and abuse within claims operations with a strong focus on cost containment and operational efficiency. · Claims Cost Containment & Risk Mitigation: · Develop and implement str ...


  • Guayaquil FOMAT Medical Research Full time

    En FOMAT Medical Research S.A., buscamos a un Bilingual Marketing Manager para que se una a nuestro equipo innovador y colaborativo. Nuestro equipo trabaja en proyectos de marketing con impacto en comunidades diversas, ofreciendo una experiencia única. · Nivel avanzado de inglés ...