Insurance Verification and Authorization Specialist

1 week ago

Pasig, Philippines Virtual Rockstar Careers Full time

Insurance Verification and Authorization Specialist - Virtual Assistant Virtual Rockstar is hiring an Insurance Verification & Authorization Specialist on behalf of a privately owned physical therapy practice that provides health, fitness, and wellness services to community athletes of all ages and abilities. The Insurance Verification & Authorization Specialist will play a key role in ensuring smooth financial and administrative operations for the clinic. This role focuses on verifying patient insurance benefits, managing prior authorizations, and supporting the in-house billing team with claim-related follow-up. This position requires strong attention to detail, experience with insurance processes, and excellent communication skills for working with patients, payers, and providers. About Our Client: The clinic is dedicated to high-quality, one-on-one care, offering services such as golf performance analysis, vertigo and balance treatment, running analysis, dry needling, and women’s health/pelvic floor rehabilitation. Their mission is to help patients achieve pain-free movement, strength, and long-term functional independence through evidence-based care, hands-on treatment, and personalized plans. Responsibilities Verify patient insurance benefits and coverage for physical therapy services. Obtain, submit, and track prior authorizations for therapy sessions. Update patient records with insurance and authorization details in the EMR (Jane). Liaise with payers to clarify coverage requirements and resolve issues. Track the status of pending authorizations and alert the team of delays. Support the billing team by assisting with claims follow-up and denial resolution. Provide clear explanations of insurance benefits and patient responsibility when needed. Ensure compliance with insurance and clinic documentation standards. Tools & Systems Used Jane EMR Claim MD Availity and other insurance verification/authorization portals Google Docs & Sheets Microsoft Excel Requirements Prior experience in insurance verification, authorizations, or medical billing support (physical therapy experience strongly preferred). Familiarity with insurance portals (e.g., Availity) and EMR systems. Strong organizational and documentation skills. Clear, professional communication skills (written and verbal). Ability to work independently, prioritize tasks, and meet deadlines. Positive, energetic, and team-oriented attitude. Benefits Competitive salary commensurate with experience. Opportunities for professional development and growth. Work in a dynamic and supportive team environment. Make a meaningful impact by helping to build and strengthen families across the globe. #J-18808-Ljbffr

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