Seasoned Remote Medical Virtual Assistant – Insurance Verification, Prior Authorization & Revenue Cycle Specialist for Outpatient Physical Therapy at brighthush

About brighthush

brighthush is a forward‑thinking, patient‑centric organization that delivers high‑quality physical therapy services across multiple locations, with a strong footprint in the Baltimore region and a growing national footprint through its virtual platform. We serve patients of every age—from active adolescents recovering from sports injuries to seniors managing chronic orthopedic and spinal conditions. Our clinical teams blend evidence‑based practice with compassionate care, creating individualized treatment plans that restore mobility, reduce pain, and improve overall quality of life.

At the heart of brighthush’s success is a seamless administrative engine that removes friction from the patient journey. By guaranteeing that insurance coverage is verified, authorizations are secured, and billing flows without interruption, we enable our clinicians to focus on what they do best: healing bodies and empowering lives.

Why Join brighthush?

Choosing a career with brighthush means aligning yourself with a culture built on six core principles: Grit, Shoshin (Beginner’s Mind), Candor, Ownership, Engagement, and Enjoy the Journey. These values shape every interaction—whether you’re speaking with a patient, collaborating with a colleague, or negotiating with a payer. They also create an environment where curiosity is celebrated, accountability is expected, and continuous improvement is the norm.

Our remote‑first model gives you the freedom to work from anywhere while staying deeply connected to a mission‑driven team. You’ll enjoy flexible scheduling, a supportive leadership structure, and a clear pathway for professional growth—all while contributing to a purpose larger than any single role.

Role Overview

The Seasoned Remote Medical Virtual Assistant is the critical bridge between patients, clinicians, and insurance providers. In this role, you will own the end‑to‑end process of insurance verification, prior authorization acquisition, and documentation compliance for outpatient physical therapy services. Your work ensures that each patient receives timely, cost‑effective care and that brighthush maximizes revenue capture without compromising compliance.

Operating remotely, you will collaborate daily with a multidisciplinary team that includes physical therapists, billing specialists, IT support, and senior leadership. You will leverage brighthush’s proprietary electronic medical record (EMR) system, industry‑standard payer portals, and a suite of productivity tools to streamline workflows and elevate the patient experience.

Key Responsibilities

Insurance Verification & Benefits Review

• Conduct comprehensive verification of patient insurance coverage and benefits prior to every scheduled appointment.
• Analyze eligibility, copays, deductibles, coinsurance, and any coverage limitations to accurately calculate patient financial responsibility.
• Maintain up‑to‑date patient records by entering verified insurance data into the EMR with meticulous attention to detail.
• Cross‑check insurance information across multiple systems to ensure data integrity and prevent reimbursement errors.
• Proactively flag high‑risk or out‑of‑network scenarios and communicate them to the clinical and billing teams for early resolution.

Prior Authorization Management

• Identify services that require pre‑authorization based on payer guidelines and initiate the request process promptly.
• Prepare and submit all required clinical documentation, including treatment plans, physician notes, and supporting medical records.
• Track authorization status in real time, following up with payers to accelerate pending requests and resolve denials.
• Maintain an organized repository of approved, pending, and expired authorizations to ensure audit readiness.
• Collaborate with clinicians to obtain additional information when payers request clarification, thereby reducing turnaround time.

Insurance Coordination & Documentation

• Serve as the primary point of contact for insurance companies, addressing coverage questions, discrepancies, and appeals.
• Respond to patient inquiries regarding insurance benefits, out‑of‑pocket costs, and the authorization process with empathy and clarity.
• Ensure all documentation complies with billing, coding, and HIPAA regulations, safeguarding patient confidentiality at every step.
• Generate routine reports on verification accuracy, authorization cycle times, and denial trends for continuous improvement initiatives.
• Participate in quarterly audits and quality‑control reviews to uphold brighthush’s high standards of compliance.

Tools & Systems Proficiency

• Navigate major insurance portals and payer systems (e.g., UnitedHealthcare, Aetna, Cigna, Medicare, Medicaid).
• Utilize brighthush’s proprietary EMR platform for patient data entry, workflow tracking, and reporting.
• Leverage standard productivity suites (Microsoft Office, Google Workspace) for documentation, spreadsheets, and presentations.
• Communicate efficiently via secure messaging platforms, email, and telephone, ensuring timely stakeholder updates.
• Adopt emerging technologies such as AI‑driven eligibility check tools and automated authorization workflows as they become available.

Essential Qualifications

• Minimum of 3–5 years of hands‑on experience in insurance verification and prior authorization within a healthcare setting, preferably in outpatient or physical therapy environments.
• Deep understanding of payer policies, benefit structures, and eligibility criteria across commercial, Medicare, and Medicaid plans.
• Exceptional written and verbal communication skills, with the ability to convey complex insurance concepts in plain language.
• Demonstrated ability to manage high‑volume workflows while maintaining a near‑zero error rate.
• Proficiency with EMR systems and payer portals; experience with brighthush’s proprietary EMR is a strong plus.
• Self‑motivated, proactive, and comfortable working independently in a fully remote environment.
• Strong organizational skills, with a proven track record of meeting tight deadlines and juggling multiple priorities.

Preferred Qualifications

• Experience specifically within outpatient physical therapy or orthopedic clinics.
• Knowledge of CPT, HCPCS, and ICD‑10 coding as they relate to therapy services and revenue cycle management.
• Hands‑on experience with HIPAA compliance, data security protocols, and audit preparation.
• Familiarity with data analytics tools (e.g., Tableau, Power BI) or custom reporting dashboards.
• Multilingual abilities (Spanish, French, or other languages) to support a diverse patient population.
• Certification in Medical Billing & Coding (CPC, CPB) or a related credential.

Skills & Competencies for Success

• Analytical Thinking: Ability to dissect complex insurance policies and translate them into actionable steps for clinicians and patients.
• Time Management: Skillful prioritization of verification and authorization tasks to meet daily and weekly targets.
• Problem‑Solving: Quick identification of coverage gaps, denial reasons, and authorization bottlenecks, followed by effective resolution.
• Customer Service Orientation: Compassionate, clear, and patient‑focused communication that builds trust and reduces anxiety.
• Team Collaboration: Seamless coordination with clinicians, billing staff, IT, and leadership to ensure a frictionless patient journey.
• Tech Savvy: Comfort with learning new software platforms, automation tools, and digital communication channels.
• Adaptability: Ability to thrive in a fast‑changing regulatory environment and adjust processes accordingly.

Career Growth & Learning Opportunities

brighthush is committed to investing in the long‑term success of its team members. As a Medical Virtual Assistant, you will have access to a robust professional development program that includes:

• Monthly webinars on evolving insurance regulations, payer policy updates, and best practices in revenue cycle management.
• Mentorship from senior billing analysts and clinical operations leaders who will guide you toward advanced responsibilities.
• Pathways to transition into roles such as Billing Coordinator, Revenue Cycle Analyst, Clinical Operations Manager, or even Remote Practice Manager.
• Cross‑functional project assignments that expose you to data analytics, process improvement initiatives, and technology implementation.
• Tuition reimbursement for relevant certifications (e.g., Certified Professional Biller, Certified Revenue Cycle Specialist).

Work Environment & Company Culture

Our remote‑first model is designed to empower you to balance professional excellence with personal well‑being. You will join a collaborative, supportive team that values transparency, continuous learning, and mutual respect. Key cultural highlights include:

• Transparent Communication: Regular all‑hands meetings, open‑door virtual office hours with leadership, and a culture of candor.
• Recognition & Celebration: Monthly “Impact Awards” that spotlight team members who embody brighthush’s core values.
• Innovation Encouragement: An internal ideas portal where you can propose workflow enhancements, with the best ideas receiving resources for implementation.
• Well‑Being Programs: Virtual fitness classes, mindfulness sessions, and mental‑health resources to support holistic health.
• Diversity & Inclusion: Active employee resource groups (ERGs) that foster a sense of belonging for under‑represented communities.

Compensation, Perks, & Benefits

While exact salary ranges are calibrated to experience and market benchmarks, brighthush offers a competitive compensation package that reflects the critical nature of this role. In addition to base pay, you can expect:

• Comprehensive health, dental, and vision insurance plans with employer contributions.
• Flexible paid time off (PTO) policy, including paid holidays and a generous sick‑leave allowance.
• Performance‑based bonuses tied to key metrics such as authorization turnaround time and billing accuracy.
• Professional development stipend for conferences, courses, and certifications.
• Home office allowance to support your remote workspace setup.
• Employee assistance program (EAP) offering counseling, legal, and financial guidance.
• Retirement savings plan with company match.

How to Apply

If you are a detail‑oriented, proactive professional with a passion for removing administrative barriers to patient care, we want to hear from you. To apply, please submit the following:

• Your updated resume highlighting relevant insurance verification and prior authorization experience.
• A concise cover letter that outlines your most significant achievements—such as reducing authorization turnaround time, improving claim acceptance rates, or implementing process efficiencies.
• Any certifications or training records that demonstrate your expertise in medical billing, coding, or revenue cycle management.

All applications will be reviewed by our talent acquisition team, and qualified candidates will be invited to a virtual interview series that includes a skills assessment, a cultural fit discussion, and a meeting with the hiring manager.

Closing Statement

At brighthush, the role of Medical Virtual Assistant is more than an administrative function; it is a pivotal component of a patient‑first ecosystem that ensures every individual receives the care they deserve without unnecessary delays or financial confusion. If you thrive in a dynamic, remote environment, possess a keen eye for detail, and are driven by the desire to make a tangible impact on health outcomes, we invite you to apply today. Join us in shaping a future where quality physical therapy is accessible, efficient, and truly patient‑centered.