Insurance Verification and Authorization Specialist

4 hours ago

Manila, National Capital Region, Philippines Virtual Rockstar Full time ₱240,000 - ₱360,000 per year

This is a remote position.

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.

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