Insurance Authorization Coordinator - Virtual Assistant
Insurance Authorization Coordinator - Virtual Assistant
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Job Description
This is a remote position.
We are looking for a fulltime Insurance Authorization Coordinator (IAC) to join our client s team. The IAC plays a key role in ensuring our patients insurance verifications and authorizations are handled efficiently ensuring a smooth experience for both patients and staff.
About our client:
Our client a leading physical therapy practice located in Texas is dedicated to guiding the community toward an active and independent lifestyle. We provide exceptional care helping patients recover and thrive by offering personalized physical therapy services. As a growing organization we are committed to exceeding expectations fostering a positive environment and maintaining a culture of ownership within our team. We believe in Humble Confidence Doing the Right Thing and Exceeding Expectations every day.
As the Insurance Authorization Coordinator you will be responsible for managing the outpatient physical therapy insurance verification process obtaining and tracking authorizations and communicating insurancerelated information to both patients and staff. You will play a critical role in ensuring that our patients receive timely care while navigating their insurance coverage.
Responsibilities:
Benefit Verification & Authorization:
Efficiently manage incoming tasks/faxes/DSMs related to benefit verifications and authorizations.
Verify patient insurance eligibility primarily via electronic means but occasionally via phone calls or faxes.
Obtain HMO referral authorizations as needed.
Data Entry & Tracking:
Enter patient benefits and authorization details into the Referral Log Patient List and Electronic Medical Records (EMR).
Maintain and update active and expiring authorizations spreadsheets and communicate relevant details to staff.
Authorization FollowUp & Appeals:
Follow up on referrals and authorizations per standard operating procedures.
Manage insurance denials and appeals working with both internal teams and insurance carriers.
Clear Communication:
Explain insurance and authorization coverages clearly to staff and patients.
Maintain professional communication via phone email text and chat with team members ensuring all parties are uptodate.
Administrative Support:
Upload necessary documents into EMR and maintain the Referral Log according to standard operating procedures.
Ensure daily communication plan and productivity documents are maintained.
Requirements
Previous experience in insurance verification and authorization is essential.
Physical therapy experience is a plus but not required.
Excellent attention to detail and strong organizational skills.
Proficient in basic math skills and knowledge of insurance benefits referral and authorization processes.
Knowledge of various payers such as Medicare Medicaid Commercial Government Work Comp and liability insurance terminology (EOB deductibles copays coinsurance).
Strong problemsolving and critical thinking skills with the ability to manage and resolve issues effectively.
Professional communication skills (verbal and written) with a solutionoriented approach.
Ability to remain calm and respond professionally in stressful situations particularly when addressing patient concerns.
Proficient with Windows and Microsoft Office (Word Excel) with the ability to navigate various software programs related to the role.
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.
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.
Employment Type
Full Time
