Remote Insurance Verification Specialist

Há 8 horas

Remoto, Brasil Pocket Tempo inteiro R$42.000 - R$72.000 por ano

About Pocket

Pocket provides faster, more affordable insurance verification for physical therapy clinics. We handle the time-consuming process of verifying patient insurance coverage (which typically takes 1-2 hours per patient), allowing front desk staff to focus on patient care and PTs to focus on treatment.

Role Overview

As an Insurance Verification Specialist, you'll verify patient insurance coverage, confirm authorization requirements, and communicate directly with insurance carriers to ensure accurate, complete benefit information before patient appointments.

Key Responsibilities

Insurance Verification

  • Verify patient eligibility and PT benefits by contacting insurance carriers
  • Document coverage details including co-pays, deductibles, out-of-pocket expenses, authorization requirements, and visit limits
  • Ensure all verifications are completed before scheduled appointments

Authorization Management

  • Determine if prior authorization is required
  • Identify requirements for submitting authorizations when needed

Documentation & Compliance

  • Accurately enter insurance data into internal systems and client EMR platforms
  • Maintain up-to-date patient records
  • Record all insurance calls using provided software
  • Ensure HIPAA compliance and maintain strict confidentiality

Support & Problem Resolution

  • Serve as primary contact for PT clinic staff regarding insurance questions
  • Proactively identify and resolve coverage discrepancies
  • Follow up with insurance carriers to clarify conflicting information

Requirements

Experience

  • 2+ years in insurance verification, medical billing, or related healthcare administration
  • Working knowledge of U.S. insurance plans, benefits, and medical terminology

Technical Skills

  • Proficiency with EMR systems and insurance portals
  • Comfortable with Google Suite and Microsoft Office
  • Strong data entry skills with exceptional attention to detail

Skills

  • Excellent written and verbal communication
  • Strong customer service orientation
  • Analytical problem-solving abilities
  • Collaborative team player

Work Requirements

  • Remote position
  • Must work weekdays 9 AM - 5 PM Eastern Time
  • Reliable internet connection required
  • Personal computer required
  • Comfortable with frequent phone communication

Interview Process

  • Assessment with voice recording
  • Live skills testing
  • Behavioral interview

Job Type: Full-time

Pay: R$ R$35.00 per hour

Expected hours: 40 – 60 per week

Work Location: Remote

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