Intermediate Insurance Verification Specialist (Physical Therapy, Remote)

About Us:

Insurance Verification Specialist

Key Responsibilities:

• 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 when 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 Availity, 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.