Job Description
Position: Insurance Verification & Authorization Specialist (Physical Therapy / Orthopedics)
Position Code: S-TCPB-BEA-9
Position Type: Full-Time
Work Hours: 8:00 AM - 5:00 PM (CDT)
Work Days: Monday - Friday
Salary: $5 - $6 per hour
About Us:
We are a Physical Therapy Billing Services company committed to delivering accurate, efficient support to clinics by managing front-end processes such as insurance verification and prior authorizations. Our environment prioritizes collaboration, attention to detail, and strong communication.
We are seeking a highly detail-oriented and proactive Insurance Benefits & Eligibility Verification & Authorization Specialist. The ideal candidate can follow directions accurately and consistently prioritize calling insurance providers rather than relying solely on online portals.
This role focuses on front-end medical billing processes, specifically insurance benefits verification, eligibility checks, and submission of authorization requests. The ideal candidate has relevant medical experience, strong attention to detail, a high standard for accuracy, and is comfortable handling insurance-related phone calls regularly.
Key Responsibilities
- Insurance Verification (Phone-Based Required):
- Contact insurance providers to verify coverage, benefits, and requirements
- Perform phone verification especially for all first-time patient visits (portal-only verification is not sufficient)
- Document all verification details, including representative name and reference number
- Follow required verification procedures without exception
Prior Authorization Management:- Initiate, submit, and follow up on prior authorization requests
- Track authorization status and ensure timely updates
- Maintain accurate documentation of approvals and pending requests
Process Compliance & Data Handling - Follow established verification workflows and protocols
- Retrieve missing or incomplete information from patient charts when needed
- Maintain and update tracking spreadsheets for verifications and authorizations
Requirements
- Atleast 2 years of direct experience handling Benefits & Eligibility verification for U.S. healthcare providers
- Strong experience in insurance verification and prior authorizations, preferably in PT/OT/Speech Therapy is a plus
- Excellent attention to detail and willingness to follow specific protocols
- Comfortable making frequent insurance calls
- Proficient in Google Sheets or Excel
- Experience in medical billing or revenue cycle management is highly valued
- Background in Physical Therapy or Orthopedics is a plus
- Familiarity with Prompt (EMR) is a plus
Basic requirements
- Must be proficient in speaking and writing English very clearly
- Must have relevant work experience
- Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory]
- Must be available for video meetings with your camera on (when needed)
Technical requirements
- Device: Reliable laptop or desktop computer.
- Internet: High-speed connection (minimum 25 Mbps).
- Audio: Noise-canceling headset.
- Video: Webcam for virtual meetings.
- Workspace: Quiet, professional environment.
Benefits
- Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
- Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
- HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
- Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
- Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
- Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
- Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
- Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.
These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, trainings, or allowances listed are optional contractor perks and not employee benefits.
