Insurance Verification

5 days ago

Manila, National Capital Region, Philippines Unlock HBA Full time $40,000 - $60,000 per year

This is a remote position.

Virtual Rockstar is hiring an Insurance Verification & Authorization Specialist on behalf of a leading physical therapy practice that provides personalized physical therapy, occupational therapy, and sports rehabilitation across multiple locations.

The Insurance Verification & Authorization Specialist will play a key role in supporting the administrative and billing teams by managing insurance verification and authorization processes.

This role requires an organized, detail-oriented individual who understands the nuances of insurance policies, pre-authorizations, and benefits verification — particularly within the physical therapy setting.

About Our Client:

This patient-centered practice is dedicated to helping individuals of all ages and activity levels "get back to the things they love." Their team believes in combining advanced treatment techniques, compassionate care, and evidence-based results to create meaningful change in patients' lives.

The clinic's culture emphasizes teamwork, communication, and excellence, ensuring that every patient receives the highest standard of care tailored to their unique needs.

Responsibilities

Insurance Verification & Authorizations

  • Verify patient insurance eligibility, benefits, and coverage for physical therapy services.

  • Obtain and track pre-authorizations for evaluations and ongoing therapy sessions.

  • Communicate with payers to confirm requirements and ensure coverage accuracy.

  • Update and maintain patient insurance data in the EMR (Prompt).

  • Log into insurance portals to manage active authorizations and monitor renewal dates.

  • Liaise with the Referral and Patient Benefits Manager to coordinate authorizations across multiple clinics.

  • Track the status of pending insurance claims and alert leadership of delays or denials.

Medical Records & Documentation

  • Research, request, and fulfill medical record documentation as needed for payer verification.

  • Ensure all insurance communications and authorizations are documented accurately.

  • Maintain patient confidentiality and compliance with HIPAA regulations.

Collaboration & Reporting

  • Work directly with clinic staff to ensure seamless communication between front office, billing, and therapy teams.

  • Support the Referral Department by verifying insurance details for new referrals.

  • Provide periodic reports on authorization turnaround times and verification accuracy.

Tools & Systems Used

  • Prompt EMR (Electronic Medical Records)

  • Insurance Portals (payer-specific)

  • Email Communication for coordination with referral and benefits teams

Requirements

  • Proven experience in insurance verification, authorizations, or medical billing (physical therapy experience preferred).

  • Strong understanding of payer requirements and pre-authorization processes.

  • Excellent communication skills (written and verbal).

  • Highly organized with strong attention to detail.

  • Comfortable working in EMR systems and multiple payer portals.

  • Reliable, proactive, and committed to accuracy and follow-through.

  • Able to work Central Time hours.

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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