Medical Virtual Assistant (Insurance Verification & Authorization Specialist)
华尔街市的医疗机构在保险部门提供了大量服务,包括:医疗保健和医疗卫生。这是一个远程职位。虚拟摇滚公司正在聘请一名全日制医学虚拟助理 (保险验证与授权专家)为巴尔多摩地区不断增长的多个地点外科医生体育治疗实践代表。这个角色主要集中于保险验,福利审查和先前授权以确保患者在治疗之前正确清除并无地运行账单流程之前帮助病人。你将与内部团队和保险供应商密切合作,以保持准确的患者保险信息并支持无的患者经历。关于医疗保健环境,这是一位高度细节化,有组织性,主动性和经验的保险工作流程管理人员。该实践致力于在巴尔的摩地区三个地点提供个性化的高质量的护理,为12岁及以上患者提供传统和专业的骨科和脊椎病理疗服务。他们的文化是由 Grit,Shoshin (初学者心智),坦诚,所有权,参与和享受旅游的价值观指导,塑造他们每天如何支持病人和团队成员。实践已经与几位成功的虚拟摇滚星合作,并期待欢迎另一个团队成员。关键责任保险验证和福利审查 · 在预约之前检查患者保险覆盖和福利 · 审查资格,配额,扣除金,共保险和覆盖限制 · 更新患者文件以准确和最新的保险信息 ·确保保险信息正确输入系统优先权限 · 如需获得医疗程序和治疗服务的预先授权 · 追踪许可状态和正在待发请求的后续 · 保持批准,未经审批和过期许可的有组织记录 · 与保险提供商沟通以解决授权问题或不一致性 保险协调与文档 · 与保证公司联系以澄清覆盖细节并解决问题 · 在需要时协助保险相关询问 · 维护准确的文件并确保遵守账单和编码要求 · 为管理审查生成基本保险和授权报告 · 确保始终保密和 HIPAA 合规工具 & 系统 · 保险门户和支付者系统 · PROM
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This is a remote position.
Virtual Rockstar is hiring a full-timeMedical Virtual Assistant (Insurance Verification & Authorization Specialist)on behalf of a growing multi-location outpatient physical therapy practice in the Baltimore area.
This role is focused primarily on insurance verification, benefits review, and prior authorizations to help ensure patients are properly cleared prior to treatment and billing processes run smoothly. You will work closely with the internal team and insurance providers to maintain accurate patient insurance information and support a seamless patient experience.
This is an ideal role for someone who is highly detail-oriented, organized, proactive, and experienced in handling insurance workflows in a healthcare setting.
About the Practice
The practice is committed to providing personalized, high-quality care across three Baltimore-area locations, serving patients ages 12 and up with both traditional and specialized physical therapy services for orthopedic and spine conditions.
Their culture is guided by the values ofGrit, Shoshin (Beginner’s Mind), Candor, Ownership, Engagement, and Enjoy the Journey, shaping how they support both patients and team members every day.
The practice already works with several successful Virtual Rockstars and is excited to welcome another team member.
Key Responsibilities
Insurance Verification & Benefits Review
- Verify patient insurance coverage and benefits prior to appointments
- Review eligibility, copays, deductibles, coinsurance, and coverage limitations
- Update patient files with accurate and current insurance information
- Ensure insurance information is entered correctly into the system
Prior Authorizations
- Obtain pre-authorizations for medical procedures and therapy services as required
- Track authorization status and follow up on pending requests
- Maintain organized records of approved, pending, and expired authorizations
- Communicate with insurance providers to resolve authorization issues or discrepancies
Insurance Coordination & Documentation
- Liaise with insurance companies to clarify coverage details and resolve issues
- Assist with insurance-related inquiries when needed
- Maintain accurate documentation and ensure compliance with billing and coding requirements
- Generate basic insurance and authorization reports for management review
- Ensure confidentiality and HIPAA compliance at all times
Tools & Systems
· Insurance portals and payer systems
- PROMPT EMR system
- Microsoft Office / Google Workspace
- Communication platforms for phone and email support
Requirements
- Experience in insurance verification and prior authorizations within a healthcare setting
- Strong understanding of insurance benefits, eligibility, and payer requirements
- Experience communicating with insurance providers via phone and portals
- Excellent written and verbal English communication skills
- Strong attention to detail and organizational skills
- Ability to multitask and manage high-volume insurance workflows efficiently
- Experience in outpatient healthcare or physical therapy settings is a plus
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
Originally posted on Himalayas