Insurance Verification & Authorization Specialist (Physical Therapy-Orthopedic)

Position: Insurance Verification & Authorization Specialist (Physical Therapy / Orthopedics)

Position Code: S-TCPB-BEA-9

Position Type: Full-Time

Work Hours: 8:00 AM - 5:00 PM (CDT)

Work Days: Monday - Friday

Salary: $5 - $6 per hour 

About Us:

We are a Physical Therapy Billing Services company committed to delivering accurate, efficient support to clinics by managing front-end processes such as insurance verification and prior authorizations. Our environment prioritizes collaboration, attention to detail, and strong communication.

Position Summary

We are seeking a highly detail-oriented and proactive Insurance Benefits & Eligibility Verification & Authorization Specialist. The ideal candidate can follow directions accurately and consistently prioritize calling insurance providers rather than relying solely on online portals.

This role focuses on front-end medical billing processes, specifically insurance benefits verification, eligibility checks, and submission of authorization requests. The ideal candidate has relevant medical experience, strong attention to detail, a high standard for accuracy, and is comfortable handling insurance-related phone calls regularly.

Key Responsibilities

1. Insurance Verification (Phone-Based Required):
• Contact insurance providers to verify coverage, benefits, and requirements
• Perform phone verification especially for all first-time patient visits (portal-only verification is not sufficient)
• Document all verification details, including representative name and reference number
• Follow required verification procedures without exception
  
2. Prior Authorization Management:
• Initiate, submit, and follow up on prior authorization requests
• Track authorization status and ensure timely updates
• Maintain accurate documentation of approvals and pending requests
  
3. Process Compliance & Data Handling 
• Follow established verification workflows and protocols
• Retrieve missing or incomplete information from patient charts when needed
• Maintain and update tracking spreadsheets for verifications and authorizations

Requirements

• Atleast 2 years of direct experience handling Benefits & Eligibility verification for U.S. healthcare providers
• Strong experience in insurance verification and prior authorizations, preferably in PT/OT/Speech Therapy is a plus
• Excellent attention to detail and willingness to follow specific protocols
• Comfortable making frequent insurance calls
• Proficient in Google Sheets or Excel
• Experience in medical billing or revenue cycle management is highly valued
• Background in Physical Therapy or Orthopedics is a plus
• Familiarity with Prompt (EMR) is a plus

Basic requirements

• Must be proficient in speaking and writing English very clearly
• Must have relevant work experience
• Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory]
• Must be available for video meetings with your camera on (when needed)

Technical requirements

• Device: Reliable laptop or desktop computer.
• Internet: High-speed connection (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Webcam for virtual meetings.
• Workspace: Quiet, professional environment.

Benefits

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, trainings, or allowances listed are optional contractor perks and not employee benefits.