Intermediate Insurance Verification Specialist (Physical Therapy)
S
SnapscaleHealthcare Administration
IndiaFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 4+ years
- Required Skills
- EHRHIPAA
Requirements
- 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.
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.
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