The decision
A bilingual label does not describe proficiency in your practice's particular calls, forms and software. Test the required administrative workflow in both languages and confirm the assistant knows when to refer a request to the clinical team.
What to compare
MedicalVirtual is a featured option for Latin American English–Spanish candidates. MEDVA's pricing also identifies bilingual role options. Compare the proposed candidate, hours and written quote rather than inferring language ability from talent location.
Before you commit
Record the language requirement in the hiring brief and distinguish reception from clinical interpretation. Ask about absence cover if only one person on the team can handle the required language.