Insurance Verification and Authorization Specialist - Virtual Assistant
Insurance Verification and Authorization Specialist - Virtual Assistant
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Job Description
This is a remote position.
Virtual Rockstar is seeking a highly motivated and organized Insurance Verification and Prior Authorization Specialist to join our client s remote team. This fulltime position plays a critical role in ensuring timely verification of insurance coverage and obtaining preauthorizations for procedures while maintaining accurate patient files. As a key part of the revenue cycle management team you will work directly with insurance providers ensuring the accurate processing of claims and preauthorization requests ultimately contributing to the company s revenue cycle success.
About our client:
Our client is a leading Revenue Cycle Management (RCM) company specializing in providing revenue cycle management services to healthcare practices. They focus on accounts receivable resolution claim submission remit processing patient payment posting credit resolution metrics/reporting and training serving a range of healthcare specialties including:
Physical Therapy
Occupational Therapy
Speech Therapy
Behavioral Medicine
Internal Medicine
Pain Management
98% of their clients are in the physical occupational or speech therapy fields. All team members work remotely providing a flexible and dynamic work environment.
Client Objectives:
Collect as much as client structure allows maximizing collection potential.
Collect as quickly as possible ensuring swift revenue cycle management.
Complete both objectives efficiently optimizing time and resources for better outcomes.
Our client operates with a wide range of Electronic Medical Records (EMRs) depending on the client including: A2C Clinicient Duxware EThomas EZClaim Health Fusion NetHealth Prompt Raintree Stride and TheraOffice.
Responsibilities:
Verify Patient Insurance Coverage: Confirm active insurance coverage and obtain accurate information for patient procedures.
Obtain Preauthorizations: Contact insurance companies to secure prior authorization for medical procedures and services.
Update Patient Files: Accurately update patient files with the latest insurance information to ensure seamless claims processing.
Liaise with Insurance Providers: Communicate with insurance providers to clarify coverage details and resolve any issues.
Collaborate with Revenue Cycle Management Team: Work closely with other team members to ensure proper claims processing and resolution.
Maintain Documentation: Ensure that all documentation and records are maintained accurately following industry standards.
Requirements
Experience in insurance verification and prior authorization preferably in a healthcare or revenue cycle management setting.
Familiarity with EMRs: Experience with platforms such as A2C Clinicient Duxware EThomas EZClaim Health Fusion NetHealth Prompt Raintree Stride or TheraOffice is a plus.
Knowledge of Healthcare Insurance: Understanding of insurance plans coverage verification and prior authorization processes.
Strong Communication Skills: Ability to liaise effectively with insurance providers clients and internal teams.
DetailOriented: Excellent attention to detail and ability to maintain accurate patient and insurance records.
Time Management: Ability to handle multiple priorities and meet deadlines in a remote work environment.
Remote Work Experience: Proven ability to work effectively in a virtual 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 in the Philippines.
Experience in insurance verification and prior authorization, preferably in a healthcare or revenue cycle management setting. Familiarity with EMRs: Experience with platforms such as A2C, Clinicient, Duxware, EThomas, EZClaim, Health Fusion, NetHealth, Prompt, Raintree, Stride, or TheraOffice is a plus. Knowledge of Healthcare Insurance: Understanding of insurance plans, coverage verification, and prior authorization processes. Strong Communication Skills: Ability to liaise effectively with insurance providers, clients, and internal teams. Detail-Oriented: Excellent attention to detail and ability to maintain accurate patient and insurance records. Time Management: Ability to handle multiple priorities and meet deadlines in a remote work environment. Remote Work Experience: Proven ability to work effectively in a virtual environment.
Employment Type
Full Time
