Job Description
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.
Requirements
Previous experience in a medical administrative role (medical assistant, medical receptionist, or similar) is preferred. Familiarity with WebPT EMR and Therabill for patient payment posting is a plus. Strong communication skills, both written and verbal. Ability to manage multiple tasks and prioritize effectively. Excellent organizational skills and attention to detail. High level of professionalism and commitment to maintaining patient confidentiality. Comfortable with remote work and proficient in using virtual communication tools. Knowledge of insurance verification and pre-authorizations is a plus. Ability to work collaboratively with a team and contribute to a positive patient experience.
Virtual Assistant • Manila, 00, ph