Insurance Verification and Authorization Specialist
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Job Description
Medical Virtual Assistant specializing in insurance verifications and authorizations for a US-based pediatric therapy practice. Aiming to streamline workflows and support families with insurance-related inquiries.
Responsibilities:
- Verify patient insurance coverage, with a strong focus on state Medicaid programs
- Obtain and track prior authorizations for therapy services
- Update patient files with accurate insurance and authorization information
- Liaise with insurance providers to clarify coverage details and requirements
- Track the status of pending authorizations and insurance claims
- Assist families with insurance-related questions in a clear, professional manner
- Perform general back-office administrative tasks to support clinic operations
- Organize and maintain digital documents and patient records
- Correspond with families regarding insurance documentation and requirements
- Maintain accurate records within the EMR and internal systems
- Support existing workflows to improve efficiency and turnaround times
- Attend team meetings or huddles as appropriate
- Work closely with in-clinic staff to take ownership of designated workflows
- Communicate clearly and professionally with team members and families
- Uphold HIPAA compliance and patient confidentiality at all times
Requirements:
- Prior experience as a Medical Virtual Assistant, Insurance Coordinator, or Medical Admin
- Hands-on experience with insurance verifications and prior authorizations (Medicaid experience strongly preferred)
- Strong attention to detail and ability to follow established workflows
- Excellent written and spoken English communication skills
- Positive, high-tone personality with a collaborative mindset
- Ability to problem-solve at a basic level and replicate processes accurately
- Comfortable working as part of a growing, fast-paced healthcare team
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
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