Insurance Verification and Authorization Specialist – Physical Therapy, Orthopedic

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Winning Assistants LLC

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51 - 200 employees

At Winning Assistants, we help doctors, healthcare professionals, and business owners save time, cut costs, and scale their operations with highly skilled, HIPAA-compliant virtual assistants. Our VAs handle tasks like admin support, medical office management, marketing, and customer service, allowing you to focus on growth.

📋 Description

• 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** • 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** • 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 • 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)

🏖️ 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.