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

About brighthush

brighthush is a trailblazing, 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.

About the Role

As the backbone of our insurance processes, the Medical Virtual Assistant & Insurance Verification Specialist will serve as the primary point of contact for all insurance‑related inquiries, ensuring that every patient receives timely, accurate coverage information and that our revenue cycle remains robust. This role requires a blend of meticulous attention to detail, strong communication skills, and a proactive mindset to navigate the complex landscape of payer policies and prior authorization requirements—all while maintaining a patient‑first attitude.

Key Responsibilities

Insurance Verification & Benefits Review

• Pre‑Appointment Coverage Confirmation – Verify patient insurance coverage and benefits before each scheduled appointment, ensuring that services are covered and that patients are aware of any out‑of‑pocket costs.
• Eligibility & Benefit Analysis – Review eligibility, copays, deductibles, coinsurance, and coverage limitations for each patient, documenting findings in the PROMPT EMR system.
• Data Accuracy & Updates – Update patient files with accurate, current insurance information, correcting any discrepancies and maintaining a clean, audit‑ready database.
• Verification Log Management – Maintain a detailed log of verification outcomes, flagging any issues for follow‑up and ensuring that no patient is left without clear coverage guidance.

Prior Authorization Management

• Authorization Acquisition – Obtain pre‑authorizations for medical procedures and therapy services as required, following payer guidelines and ensuring all necessary documentation is submitted.
• Status Tracking & Follow‑Up – Track authorization status, follow up on pending requests, and proactively address any delays or denials.
• Record Keeping – Maintain organized records of approved, pending, and expired authorizations, ensuring easy retrieval for audits and billing.
• Provider Communication – Liaise with insurance providers to resolve authorization issues or discrepancies, documenting all communication in the EMR for audit purposes.

Insurance Coordination & Documentation

• Coverage Clarification – Liaise with insurance companies to clarify coverage details and resolve issues, acting as the bridge between patients, clinicians, and payers.
• Patient & Staff Support – Assist with insurance‑related inquiries from patients and staff, providing clear, concise explanations and next steps.
• Compliance & Documentation – Maintain accurate documentation and ensure compliance with billing and coding requirements, supporting the integrity of our revenue cycle.
• Reporting – Generate basic insurance and authorization reports for management review, highlighting trends and opportunities for improvement.
• HIPAA & Confidentiality – Ensure confidentiality and HIPAA compliance at all times, safeguarding patient information.

Process Improvement & Collaboration

• Workflow Optimization – Identify bottlenecks in insurance workflows and propose solutions that streamline processes and reduce turnaround times.
• Cross‑Functional Collaboration – Work closely with billing, clinical, and administrative teams to streamline patient onboarding and enhance the overall patient experience.
• Team Engagement – Participate in regular team meetings, contributing ideas for enhancing patient experience and operational efficiency.
• Technology Adoption – Support the implementation of new technology tools that improve efficiency, providing feedback and training as needed.
• Best Practice Documentation – Document best practices and update standard operating procedures, ensuring consistency across the organization.

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, deepening your expertise in revenue cycle management.
• Participate in cross‑functional projects that shape the future of outpatient care, influencing policy and workflow design.
• Access mentorship from senior administrators and clinicians, fostering professional development and leadership skills.
• Earn professional development credits and certifications, supporting your career trajectory.
• Advance to roles such as Billing Coordinator, Revenue Cycle Manager, or Clinical Operations Lead, with clear pathways for promotion.

Work Environment & Culture

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

• Receive a fully equipped home office stipend, ensuring you have the tools needed for success.
• Participate in weekly virtual huddles and monthly town‑hall meetings, staying connected with the broader team.
• Enjoy flexible scheduling that respects work‑life balance, allowing you to manage personal commitments.
• Engage in quarterly team retreats and wellness initiatives, fostering camaraderie and well‑being.
• 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, with coverage starting on the first day of employment.
• 401(k) plan with company match, supporting your long‑term financial goals.
• Paid time off, sick leave, and holidays, ensuring you have time to recharge.
• Professional development stipend and tuition reimbursement, encouraging lifelong learning.
• Employee assistance program and mental health resources, prioritizing your well‑being.
• 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. To submit your application, visit our careers page at .