Insurance Verification

1 day ago

Manila, National Capital Region, Philippines Virtual Rockstar Full time

This is a remote position.

Virtual Rockstar is hiring an Insurance Verification & Authorization Specialist to support a thriving outpatient physical therapy practice in Louisiana.

The Insurance Verification & Authorization Specialist will play a crucial role in ensuring smooth patient care operations by managing insurance verifications, pre-authorizations, and communication with payers.

This position requires a detail-oriented, analytical, and proactive professional who understands the nuances of insurance processes in the physical therapy setting. While the primary focus is on insurance verification and authorization management, the ideal candidate will also provide billing support and accounts receivable (AR) clean-up assistance as needed.

About Our Client:

This practice is built on a mission to "give the exxtra in everything we do" — reflecting a commitment to excellence, compassion, and faith-based values in every interaction. Their culture is grounded in integrity, family, respect, and professionalism, ensuring every patient receives personalized, high-quality care in a supportive and welcoming environment.

The team fosters a close-knit, collaborative work culture where communication, reliability, and continuous improvement are key to success.

Responsibilities

Insurance Verification & Authorizations

  • Verify patient insurance eligibility and benefits across various insurance plans (e.g., Healthy Blue, Louisiana Healthcare Connections, Aetna Better Health, Ambetter, UHC, Cigna/ASH).

  • Obtain, submit, and track pre-authorizations for evaluations and ongoing therapy services.

  • Communicate with insurance representatives to clarify coverage details and requirements.

  • Maintain accurate and up-to-date documentation in the Empower EMR system.

  • Collaborate with the clinical team to ensure therapy documentation supports authorization extensions.

  • Monitor visit limits and authorization expirations, notifying staff in advance of renewals.

Billing & AR Support 

  • Assist with accounts receivable (AR) clean-up by following up on unpaid or aged claims.

  • Review and reconcile explanation of benefits (EOBs) and electronic remittance advices (ERAs).

  • Identify and resolve billing discrepancies or claim denials.

  • Support the billing team with payment posting and reporting tasks.

Reporting & Administrative Support

  • Maintain accurate reports tracking verifications, authorizations, and claim statuses.

  • Document all insurance communications and maintain compliance with HIPAA standards.

  • Contribute to process improvement by developing standard operating procedures (SOPs) for recurring tasks.

  • Communicate regularly with team members via Microsoft Teams and email to ensure workflow alignment.

Tools & Systems Used

  • Empower EMR

  • Athelas Billing

  • ClaimMD

  • Availity, Zelis, and PaySpan

  • Microsoft 365 Suite (Word, Excel, Teams, Outlook, Forms)

Requirements

  • Experience in insurance verification, authorizations, and medical billing (physical therapy experience preferred).

  • Familiarity with major payer portals and EMR systems (Empower strongly preferred).

  • Strong understanding of claim processes, EOBs, and AR management.

  • Excellent communication and problem-solving skills.

  • Tech-savvy and adaptable to evolving systems and tools.

  • Highly organized, detail-oriented, and proactive in following up.

  • Reliable, team-oriented, and comfortable working in a fast-paced clinical environment.

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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