Insurance Verification Specialist

1 week ago

Manila, National Capital Region, Philippines Virtual Rockstar Careers Full time

This is a remote position.

Our client, a growing multistate physical therapy team, is seeking a highly detail-oriented Insurance Verification Specialist to support patient intake, benefits verification, and communication workflows across multiple clinic locations. This role requires accuracy, strong communication skills, and the ability to manage insurance-related tasks efficiently in a fast-paced environment. You will play a crucial part in ensuring patients receive the care they need by providing clear, timely insurance information to both patients and clinical teams.

Responsibilities
Insurance Verification & Benefits Processing

  • Verify patient insurance coverage for physical therapy services across multiple states.
  • Enter insurance benefit information into the clinic's EMR system with accuracy and attention to detail.
  • Update patient files with all insurance and eligibility information obtained during verification.
  • Obtain pre-authorizations for procedures when required.
  • Track and follow up on pending insurance claims or authorizations.
  • Liaise with insurance providers to clarify coverage, co-pays, deductibles, limitations, and eligibility.
  • Assist patients who have questions regarding their insurance benefits or coverage details.

Patient & Clinic Communication

  • Communicate benefit information clearly to clinics and administrative staff.
  • Respond to clinic inquiries regarding patient insurance coverage and verification results.
  • Support clinics as needed if they have questions or need clarification about benefit details.
  • Maintain professional, friendly communication via email and phone.

Administrative Support

  • Type and upload patient forms into the EMR system (Raintree).
  • Maintain accurate, organized electronic records for all insurance-related tasks.
  • Assist in streamlining insurance verification processes and identifying areas for improvement.
  • Participate in weekly team meetings, monthly check-ins, and training sessions as required.

Requirements

  • Experience in medical insurance verification, insurance coordination, or similar administrative support role.
  • Strong knowledge of medical insurance terminology and benefit structures (co-pays, deductibles, prior auths, coverage rules).
  • Experience working with EMR systems (Raintree experience preferred but not required).
  • Ability to interpret benefit information and communicate it clearly to staff and patients.
  • Excellent written and verbal communication skills.
  • Strong attention to detail, accuracy, and follow-through.
  • Ability to work independently, manage multiple verifications daily, and meet deadlines.
  • Comfortable working with U.S.-based healthcare teams and adapting to evolving workflows.

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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