Our partner’s mission is to guide their community toward an active, independent lifestyle. Their team is built on values that shape everything they do: Humble Confidence – Knowing your talents and successes without needing to shout them Integrity – Doing the right thing with sincerity and strong moral principles Exceeding Expectations – Striving for growth, never settling for the status quo Contagious Positivity – Bringing energy and joy to every interaction Extreme Ownership – Taking responsibility without excuses, for yourself and your team
Insurance Verification & Authorization Specialist - Virtual Assistant
Location
Philippines
Posted
43 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Insurance Verification & Authorization Specialist - Virtual Assistant
Virtual Rockstar
This is a remote position. Virtual Rockstar is hiring a full-time Medical Virtual Assistant (Insurance Verification & Authorization Specialist) on behalf of a growing multi-location physical therapy practice. This role is primarily focused on insurance verification and authorization, supporting a high-volume clinic environment with accurate and timely processing of patient insurance information. You will play a critical role in ensuring patients are properly verified and authorized prior to their appointments, helping the clinic operate efficiently and avoid billing delays. This is an ideal role for someone experienced in handling high-volume insurance workflows, who is detail-oriented, proactive, and comfortable working independently in a fast-paced healthcare setting. About the Practice Our client operates multiple clinics with a large and growing team of providers, delivering high-quality physical therapy services to a diverse patient population. With a high volume of patient evaluations each week, the team is focused on improving operational efficiency—particularly in insurance workflows—as they transition into a new EMR system. They value accuracy, adaptability, and team collaboration, and are looking for someone who can support their administrative processes and help streamline insurance operations. Key Responsibilities - Insurance Verification & Authorization (Primary Focus) - Verify patient insurance eligibility and benefits prior to appointments - Obtain and manage prior authorizations, including phone-based verifications - Handle a variety of insurance types including Medicare, commercial plans, workers’ compensation, and auto claims - Ensure all insurance information is accurate and updated in the EMR - Track and follow up on pending verifications and authorizations - Communicate with insurance providers to resolve discrepancies and clarify coverage Administrative & Back-Office Support (Secondary) - Process incoming faxes and upload documents into the EMR system - Maintain accurate and organized patient records - Assist with general administrative and data entry tasks - Support workflow improvements during EMR transition Tools & Systems - PROMPT EMR - Weave (VoIP phone system) - SR Fax (integrated with EMR) - Slack / WhatsApp (backup communication) - Zoom (training and onboarding) Requirements - 2+ years of experience in medical insurance verification and authorization - Strong understanding of Medicare, commercial insurance, workers’ compensation, and auto claims - Experience handling high-volume, repetitive administrative workflows - Excellent attention to detail and accuracy - Strong verbal and written English communication skills - Comfortable making phone calls to insurance providers - Ability to work independently and manage tasks efficiently - Adaptable and able to learn new systems quickly - Experience with PROMPT EMR is a plus Non-Negotiables - Strong experience in medical insurance processes - High attention to detail and accuracy - Ability to handle high-volume workloads - Strong communication skills - Self-starter with a proactive mindset 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.
Related Guides
Related Categories
Related Job Pages
More Insurance Jobs
Division or Field Office: Property & Material Damage Div Department of Position: Property Damage Dept Work from: Remote Salary Range: $56,367.00 - $90,040.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service® to our customers—and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including: - Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. - Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs. - Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. - 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. - Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. - Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary Exercises independent discretion or judgment in handling property claims within designated level of authority. Also responsible for servicing assigned territory and may handle litigated claims. - This is a remote, work from home position in Pennsylvania - The selected candidate will ideally live in Potter, Tioga, Bradford, Sullivan, Lycoming, Clinton, Centre, Union, Montour, Columbia, Northumberland, Snyder, or Mifflin County, and/or surrounding areas - The hiring manager will also consider candidates for Property Adjuster II. Level of position offered will be based upon the depth and breadth of selected candidate's experience and qualifications. - A company car and equipment to work from home will be provided - Good time management and organization skills preferred - Ability to drive/travel regularly within the assigned territory Duties and Responsibilities - Contacts Policyholders regarding property claims within level of authority. Conducts investigations, interviews insureds and witnesses, inspects damage and prepares estimates. Evaluates and makes recommendations regarding coverage of claims. - Handles property claims within designated authority. Sets and maintains adequate reserves. Obtains and reviews reports, statements, records and related materials as required. Evaluates information to determine coverage and total value of claim. Determines payments and issues checks or declines payment as required. - Documents claim files and submits final report to file for closure. - Identifies subrogation situations and initiates appropriate action. - Services assigned territory and brings assigned claims to conclusion. - Interacts with Agents and district sales managers on matters of mutual concern. - Handles property claims involving damages or coverage. May handle litigated claims, including negotiating with plaintiff attorney, or coordinates litigation with defense counsel as required. - Develops and applies a working knowledge of estimating practices and procedures relating to the adjustment of property claims. - Attends industry-related training programs and attends other training sessions to stay current on policy changes, interpretation or new legislation. - Successfully completes Technical Learning Center Training within one year of hire date. - Participates on Catastrophe Team when required. Capabilities - Values Diversity - Nimble Learning - Self-Development - Collaborates - Customer Focus - Information Management Skills - Cultivates Innovation - Optimizes Work Processes (IC) - Job-Specific Knowledge - Instills Trust - Ensures Accountability - Decision Quality Qualifications Minimum Educational and Experience Requirements - High School Diploma or GED and two years of claims handling experience, or equivalent required; or - High School Diploma or GED and successful completion of ERIE sponsored formal education; or - Bachelor’s Degree required. Additional Experience - Incumbent must live in territory assigned unless a change is approved by the company. - Position requires incumbent to serve on catastrophe duty, which may include travel on short notice to other locations for periods in excess of two consecutive weeks. Designations and/or Licenses - Willingness to pursue and complete Technical Learning Center Training required. - Successful completion of AIC 33 and AIC 35 preferred. - Willingness to obtain and maintain any required licenses. - Valid driver’s license and good driving record required. Physical Requirements - Use of Personal Protective Equipment (PPE) is required for this role. - Ability to move over 50 lbs using lifting aide equipment; Often (20-50%) - Climbing/accessing heights; Rarely - Driving; Frequent (50-80%) - Lifting/Moving 0-20 lbs; Often (20-50%) - Lifting/Moving 20-50 lbs; Often (20-50%) - Manual Keying/Data Entry/inputting information/computer use; Often (20-50%) - Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%)
Division or Field Office: Property & Material Damage Div Department of Position: Property Damage Dept Work from: Remote Salary Range: $56,367.00 - $90,040.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service® to our customers—and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including: - Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. - Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs. - Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. - 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. - Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. - Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary Exercises independent discretion or judgment in handling property claims within designated level of authority. Also responsible for servicing assigned territory and may handle litigated claims. - This is a remote, work from home position in Pennsylvania - The selected candidate will ideally live in Luzerne, Lackawanna, Carbon, Monroe, Wyoming, Pike County, and/or surrounding areas. - The hiring manager will also consider candidates for Property Adjuster II. Level of position offered will be based upon the depth and breadth of selected candidate's experience and qualifications. - A company car and equipment to work from home will be provided - Good time management and organization skills preferred - Ability to drive/travel regularly within the assigned territory Duties and Responsibilities - Contacts Policyholders regarding property claims within level of authority. Conducts investigations, interviews insureds and witnesses, inspects damage and prepares estimates. Evaluates and makes recommendations regarding coverage of claims. - Handles property claims within designated authority. Sets and maintains adequate reserves. Obtains and reviews reports, statements, records and related materials as required. Evaluates information to determine coverage and total value of claim. Determines payments and issues checks or declines payment as required. - Documents claim files and submits final report to file for closure. - Identifies subrogation situations and initiates appropriate action. - Services assigned territory and brings assigned claims to conclusion. - Interacts with Agents and district sales managers on matters of mutual concern. - Handles property claims involving damages or coverage. May handle litigated claims, including negotiating with plaintiff attorney, or coordinates litigation with defense counsel as required. - Develops and applies a working knowledge of estimating practices and procedures relating to the adjustment of property claims. - Attends industry-related training programs and attends other training sessions to stay current on policy changes, interpretation or new legislation. - Successfully completes Technical Learning Center Training within one year of hire date. - Participates on Catastrophe Team when required. Capabilities - Values Diversity - Nimble Learning - Self-Development - Collaborates - Customer Focus - Information Management Skills - Cultivates Innovation - Optimizes Work Processes (IC) - Job-Specific Knowledge - Instills Trust - Ensures Accountability - Decision Quality Qualifications Minimum Educational and Experience Requirements - High School Diploma or GED and two years of claims handling experience, or equivalent required; or - High School Diploma or GED and successful completion of ERIE sponsored formal education; or - Bachelor’s Degree required. Additional Experience - Incumbent must live in territory assigned unless a change is approved by the company. - Position requires incumbent to serve on catastrophe duty, which may include travel on short notice to other locations for periods in excess of two consecutive weeks. Designations and/or Licenses - Willingness to pursue and complete Technical Learning Center Training required. - Successful completion of AIC 33 and AIC 35 preferred. - Willingness to obtain and maintain any required licenses. - Valid driver’s license and good driving record required. Physical Requirements - Use of Personal Protective Equipment (PPE) is required for this role. - Ability to move over 50 lbs using lifting aide equipment; Often (20-50%) - Climbing/accessing heights; Rarely - Driving; Frequent (50-80%) - Lifting/Moving 0-20 lbs; Often (20-50%) - Lifting/Moving 20-50 lbs; Often (20-50%) - Manual Keying/Data Entry/inputting information/computer use; Often (20-50%) - Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%)
Scheduled Hours 40 Position Summary Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services. Job Description Primary Duties & Responsibilities: - Performs insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges. - Reviews patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling. - Utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry. - Consistently meets the Quality Assurance (QA) and meaningful efficiency standards of working invoices/accounts each day and follows best practices for one-touch resolution as established within the department. - Interacts with management and staff members to discuss issues. - Performs other duties as assigned by the supervisor and/or manager. Working Conditions: Job Location/Working Conditions: - Normal office environment. Physical Effort: - Typically sitting at a desk or table. Equipment: - Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles. Preferred Qualifications Education: No additional education unless stated elsewhere in the job posting. Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications Grade C06-H Salary Range $17.34 - $25.40 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal - Up to 22 days of vacation, 10 recognized holidays, and sick time. - Competitive health insurance packages with priority appointments and lower copays/coinsurance. - Take advantage of our free Metro transit U-Pass for eligible employees. - WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness - Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family - We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered. - WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
Commercial Insurance Inspector- (Pittsburgh, PA.)
EXL ServiceEXL is a key business partner for commercial and personal line insurance carriers through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspection and risk control services to support our clients’ underwriting processes. Our consultants deliver industry-leading professionalism, quality, and turn-around time, and our innovative solutions help our clients keep ahead of the competition.
The Company Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspection and risk control services to support our clients’ underwriting processes. EXL’s consultants deliver industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. https://www.exlservice.com/survey-and-risk-control Job Description EXL Risk Control is looking for self-directed independent contractors who possess excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. You will work from your own home or office, and service onsite survey/inspection assignments in the Pittsburgh, PA area, and other locations within approximately 45 miles of Pittsburgh. Responsibilities You will be responsible for scheduling on-site surveys and providing risk control reports to insurance industry clients. These reports contain information necessary to underwrite a commercial insurance policy and may include recommendations to control and/or correct potential loss producing conditions associated with that policy. You will be expected to manage assignments you accept, successfully secure customer appointments within a local territory and complete work assignments on time. Our Risk Control Inspectors evaluate businesses behind the scenes to identify hazards and improve safety, mitigating risks for our insurance company clients. The type of businesses we survey are commercial operations, including retail, restaurants, hotels, apartments, construction jobsites, churches, schools, etc. Most surveys are focused on assessing the business for Property and General Liability coverage, but we also service other commercial insurance lines of business including Workers Compensation, Auto/Fleet, Products Liability, Inland Marine and Builders Risk. Preferred experience in commercial insurance, real estate, inspection, construction, claim, loss control, underwriting, and/or fire and safety experience is a plus, but all interested candidates are encouraged to submit their qualifications. In lieu of experience, we can refer you to a 15-hour online certification option to qualify you. Fees are negotiable depending on experience and the unique aspects of selected jobs. Tools or Items You Must Provide: - Digital camera or tablet - Computer - Printer - High speed internet access - Reliable vehicle - Measuring device such as a laser, 100 ft. tape, or measuring wheel - Auto and General Liability Insurance All interested candidates are encouraged to apply. EEO/Minorities/Females/Vets/Disabilities Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. Application & Interview Impersonation Warning – Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s). EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL.
