Insurance Authorization Coordinator - Virtual Assistant

We are looking for a full-time Insurance Authorization Coordinator (IAC) to join our client’s team. The IAC plays a key role in ensuring our patients’ insurance verifications and authorizations are handled efficiently, ensuring a smooth experience for both patients and staff. About our client: Our client, a leading physical therapy practice located in Texas, is dedicated to guiding the community toward an active and independent lifestyle. We provide exceptional care, helping patients recover and thrive by offering personalized physical therapy services. As a growing organization, we are committed to exceeding expectations, fostering a positive environment, and maintaining a culture of ownership within our team. We believe in Humble Confidence, Doing the Right Thing, and Exceeding Expectations every day. As the Insurance Authorization Coordinator, you will be responsible for managing the outpatient physical therapy insurance verification process, obtaining and tracking authorizations, and communicating insurance-related information to both patients and staff. You will play a critical role in ensuring that our patients receive timely care while navigating their insurance coverage. Responsibilities: Benefit Verification & Authorization: Efficiently manage incoming tasks/faxes/DSMs related to benefit verifications and authorizations. Verify patient insurance eligibility, primarily via electronic means, but occasionally via phone calls or faxes. Obtain HMO referral authorizations as needed. Data Entry & Tracking: Enter patient benefits and authorization details into the Referral Log, Patient List, and Electronic Medical Records (EMR). Maintain and update active and expiring authorizations spreadsheets and communicate relevant details to staff. Authorization Follow-Up & Appeals: Follow up on referrals and authorizations per standard operating procedures. Manage insurance denials and appeals, working with both internal teams and insurance carriers. Clear Communication: Explain insurance and authorization coverages clearly to staff and patients. Maintain professional communication via phone, email, text, and chat with team members, ensuring all parties are up-to-date. Administrative Support: Upload necessary documents into EMR and maintain the Referral Log according to standard operating procedures. Ensure daily communication plan and productivity documents are maintained. Requirements Previous experience in insurance verification and authorization is essential. Physical therapy experience is a plus but not required. Excellent attention to detail and strong organizational skills. Proficient in basic math skills and knowledge of insurance benefits, referral, and authorization processes. Knowledge of various payers such as Medicare, Medicaid, Commercial, Government, Work Comp, and liability insurance terminology (EOB, deductibles, copays, coinsurance). Strong problem-solving and critical thinking skills with the ability to manage and resolve issues effectively. Professional communication skills (verbal and written) with a solution-oriented approach. Ability to remain calm and respond professionally in stressful situations, particularly when addressing patient concerns. Proficient with Windows and Microsoft Office (Word, Excel), with the ability to navigate various software programs related to the role. 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 in the Philippines.