Seasoned Medical Virtual Assistant & Insurance Verification Specialist – Prior Authorization Lead for Remote Outpatient Physical Therapy at brighthush – Drive Patient Care Excellence & Revenue Optimization

About brighthush

brighthush is a pioneering, patient‑centric outpatient physical therapy organization that has redefined mobility and wellness delivery across the Baltimore region and beyond. With three strategically located clinics, we provide personalized, high‑quality care for patients aged 12 and up, focusing on orthopedic and spine conditions. Our mission is to empower patients to regain mobility, reduce pain, and return to the activities they love. We blend evidence‑based practice with a culture rooted in Grit, Shoshin (Beginner’s Mind), Candor, Ownership, Engagement, and Enjoy the Journey. These values guide every interaction—from the first phone call to the final follow‑up—ensuring that both patients and team members feel supported, respected, and inspired.

Why brighthush is the Ideal Place for Your Career

At brighthush, we believe that the future of outpatient care is built on collaboration, technology, and a relentless focus on patient outcomes. As a remote‑first organization, we empower our team members to work from anywhere while staying connected to a vibrant, high‑performing community. If you are passionate about healthcare administration, thrive in a fast‑paced environment, and want to make a tangible impact on both patient experience and revenue, brighthush offers the perfect platform for you.

Key Responsibilities

As the backbone of our insurance processes, your day‑to‑day tasks will include:

• Insurance Verification & Benefits Review
  • Verify patient insurance coverage and benefits before appointments.
  • Review eligibility, copays, deductibles, coinsurance, and coverage limitations.
  • Update patient files with accurate, current insurance information.
  • Ensure insurance data is entered correctly into the PROMPT EMR system.
  • Maintain a log of verification outcomes and flag any discrepancies for follow‑up.
• Prior Authorization Management
  • Obtain pre‑authorizations for medical procedures and therapy services as required.
  • Track authorization status and follow up on pending requests.
  • Maintain organized records of approved, pending, and expired authorizations.
  • Communicate with insurance providers to resolve authorization issues or discrepancies.
  • Document all communication and decisions in the EMR for audit purposes.
• Insurance Coordination & Documentation
  • Liaise with insurance companies to clarify coverage details and resolve issues.
  • Assist with insurance‑related inquiries from patients and staff.
  • Maintain accurate documentation and ensure compliance with billing and coding requirements.
  • Generate basic insurance and authorization reports for management review.
  • Ensure confidentiality and HIPAA compliance at all times.
• Process Improvement & Collaboration
  • Identify bottlenecks in insurance workflows and propose solutions.
  • Collaborate with billing, clinical, and administrative teams to streamline patient onboarding.
  • Participate in regular team meetings and contribute ideas for enhancing patient experience.
  • Support the implementation of new technology tools that improve efficiency.
  • Document best practices and update standard operating procedures.

Essential Qualifications

• Minimum of 2 years experience in insurance verification and prior authorizations within a healthcare setting.
• Strong understanding of insurance benefits, eligibility, and payer requirements.
• Proficiency in communicating with insurance providers via phone and online portals.
• Excellent written and verbal English communication skills.
• Exceptional attention to detail and organizational skills.
• Ability to multitask and manage high‑volume insurance workflows efficiently.
• Experience in outpatient healthcare or physical therapy settings is a plus.

Preferred Qualifications

• Familiarity with PROMPT EMR or similar electronic medical record systems.
• Knowledge of CPT, ICD‑10, and HCPCS coding.
• Experience with Microsoft Office Suite and Google Workspace.
• Previous remote work experience and self‑management skills.
• Certification in medical billing or insurance administration (e.g., Certified Professional Biller).

Skills & Competencies

• Analytical Thinking: Ability to interpret complex insurance policies and translate them into actionable steps.
• Communication: Clear, concise, and professional communication with patients, providers, and insurance carriers.
• Problem‑Solving: Quick resolution of authorization delays and coverage disputes.
• Time Management: Prioritize tasks to meet deadlines in a fast‑paced environment.
• Team Player: Collaborate across departments to achieve shared goals.
• Adaptability: Thrive in a dynamic setting with evolving policies and technology.

Career Growth & Learning Opportunities

At brighthush, we believe that growth is a shared journey. As a Medical Virtual Assistant, you will:

• Gain exposure to advanced billing and coding practices.
• Participate in cross‑functional projects that shape the future of outpatient care.
• Access mentorship from senior administrators and clinicians.
• Earn professional development credits and certifications.
• Advance to roles such as Billing Coordinator, Revenue Cycle Manager, or Clinical Operations Lead.

Work Environment & Culture

Our remote work model is built on trust, accountability, and open communication. You will:

• Receive a fully equipped home office stipend.
• Participate in weekly virtual huddles and monthly town‑hall meetings.
• Enjoy flexible scheduling that respects work‑life balance.
• Engage in quarterly team retreats and wellness initiatives.
• Benefit from a culture that celebrates wins, learns from challenges, and values continuous improvement.

Compensation, Perks, and Benefits

• Competitive base salary aligned with your experience and performance.
• Health, dental, and vision insurance options.
• 401(k) plan with company match.
• Paid time off, sick leave, and holidays.
• Professional development stipend and tuition reimbursement.
• Employee assistance program and mental health resources.
• Access to an online learning portal with courses in healthcare administration, coding, and technology.

How to Apply

If you are ready to bring your expertise in insurance verification and prior authorizations to a forward‑thinking, patient‑first organization, we encourage you to apply today. Join brighthush and help us transform the outpatient physical therapy experience for patients across the globe.

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