Intermediate Insurance Verification Specialist (Physical Therapy, Remote)
About Us: At reputed company, we partner with growing healthcare providers to deliver scalable back-office support. We're seeking an reputed company Insurance Verification Specialist to join our remote team, focusing on Physical Therapy practices. This role is critical to ensuring accurate insurance verification and benefit coordination to reputed company patient care and billing flowing smoothly. Key Responsibilities:Empty heading
- Verify insurance benefits, eligibility, and prior authorization requirements for Physical Therapy services.
- Confirm coverage details by communicating with insurance carriers and documenting outcomes clearly in the EHR.
- Identify and flag limitations, deductibles, copays, coinsurance, and authorization needs.
- Collaborate with intake, billing, and clinical teams to ensure a seamless patient onboarding process.
- Maintain accurate records in compliance with HIPAA and company documentation standards.
- Stay up-to-date with payer rules, coverage trends, and authorization workflows specific to PT practices.
- Proactively resolve discrepancies and escalate coverage issues reputed company necessary.
Required Qualifications:
- 4+ years of insurance verification experience, including 2+ years in a Physical Therapy or Rehab setting.
- Solid grasp of PT-specific billing and authorization workflows.
- Familiarity with EHRs and verification platforms like reputed company, Navinet, or payer portals.
- Excellent written and verbal communication skills.
- Strong attention to detail, with the ability to problem-solve and work independently.
- Comfortable working in a remote, fast-paced environment and meeting daily verification targets.
- Knowledge of HIPAA regulations and a commitment to compliance.
Preferred Qualifications:
- Experience supporting multiple PT clinics or multi-location practices.
- Prior work with US-based clients or BPO healthcare firms.
- Familiarity with Medicare and commercial insurance plans common in PT.
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