Medical Virtual Assistant (Insurance Verification & Authorization Specialist)

 Posted 15 days ago
     
2-5 years experience
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AI Summary

The role focuses on verifying patient insurance eligibility and obtaining prior authorizations for physical therapy services. It involves coordinating with insurance providers and the clinic team to ensure accurate billing and smooth patient workflows.

This is a remote position.

Virtual Rockstar is hiring a full-time Medical Virtual Assistant (Insurance Verification & Authorization Specialist) on behalf of a growing physical therapy practice.

This role is dedicated exclusively to insurance verifications and prior authorizations, helping the clinic improve accuracy, reduce billing issues, and create a smoother workflow for the in-office team. You will work closely with the practice’s leadership and administrative team to ensure patient insurance information, authorization codes, and payer requirements are handled correctly the first time.

This is an ideal role for someone who is highly detail-oriented, experienced with insurance workflows in a physical therapy or outpatient setting, and comfortable communicating directly with insurance providers over the phone.

About Our Client

Our client is a physical therapy practice focused on helping patients avoid unnecessary injections, medications, and surgery through proactive, personalized care. Their mission is to help patients take control of their healthcare and improve long-term wellness outcomes.

The clinic is currently growing and preparing to expand into a wellness center while continuing to strengthen operational systems and patient support. The team values accuracy, communication, accountability, and efficiency in delivering high-quality patient care.

Key Responsibilities

Insurance Verification & Benefits Review

  • Verify patient insurance eligibility and benefits accurately prior to appointments

  • Review copays, deductibles, authorization requirements, and coverage limitations

  • Update patient records with current and accurate insurance information

  • Ensure all insurance details and ID numbers are entered correctly into the EMR system

Prior Authorizations

  • Obtain and track prior authorizations for therapy services and procedures

  • Communicate directly with insurance providers via phone and payer portals

  • Follow up on pending authorizations and document updates accurately

  • Maintain organized records of authorization approvals, denials, and expiration dates

Insurance Coordination & Claims Support

  • Clarify coverage details with insurance companies and resolve discrepancies

  • Track pending insurance claims and authorization-related issues

  • Assist with identifying and preventing claim rejections caused by inaccurate information

  • Support clean claims processing by ensuring information is accurate the first time

Administrative & Team Support

  • Communicate daily with the clinic team regarding verification and authorization updates

  • Assist with scheduling support if needed during staff absences

  • Maintain HIPAA compliance and patient confidentiality at all times

Tools & Systems

  • PROMPT EMR

  • Weave (phone system)

  • Breakthrough (marketing platform)

  • Insurance portals and payer systems



Requirements

  • Experience in insurance verification and prior authorizations within a healthcare setting

  • Strong understanding of insurance workflows, eligibility checks, and payer communication

  • Excellent verbal and written English communication skills

  • Comfortable speaking directly with insurance providers over the phone

  • Strong attention to detail and ability to work with minimal distractions

  • Highly organized with strong documentation and follow-through skills

  • Experience in physical therapy or outpatient healthcare settings strongly preferred

Non-Negotiables

  • Dedicated focus on verifications and authorizations with strong accuracy and attention to detail

  • Clear and understandable English communication skills for insurance-related calls

  • Back-offic



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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