Senior Insurance Verification & Prior Authorization Specialist – Remote Virtual Assistant – Champion Seamless Patient Care & Revenue Optimization at brighthush

About brighthush

brighthush is a trailblazing network of rehabilitation clinics that is reshaping how recovery services are delivered across the United States. With a footprint in more than a dozen states, we blend evidence‑based clinical protocols with cutting‑edge technology to create a patient‑centered experience that is both compassionate and efficient. Our mission is simple yet powerful: to empower individuals on their journey to recovery by providing seamless, affordable, and accessible care that improves outcomes and transforms lives.

As a fully remote, technology‑driven organization, brighthush harnesses the latest tools and processes to streamline clinical and administrative workflows. Every team member plays a vital role in our success, and we foster a culture of collaboration, continuous learning, and mutual respect. Whether you are a seasoned professional or a recent graduate, brighthush offers a dynamic environment where your contributions directly impact patient care and the operational excellence of our clinics.

Why Join brighthush

• Mission‑Driven Impact: Your work will directly influence patient care, ensuring that insurance processes are smooth, timely, and compassionate.
• Growth Opportunities: As brighthush expands, you’ll have the chance to take on additional responsibilities, lead projects, and shape the future of our administrative operations.
• Collaborative Leadership: You’ll work alongside supportive, experienced leaders who value your input and encourage professional development.
• Remote Flexibility: Enjoy the freedom of a fully remote role while maintaining a structured schedule that aligns with Mountain Time Zone business hours.
• Competitive Compensation: We offer a salary that reflects your experience, along with a comprehensive benefits package designed to support your well‑being.

Your Impact

As the Senior Insurance Verification & Prior Authorization Specialist, you will be the linchpin that connects patients, clinicians, and payers. Your meticulous attention to detail and proactive communication will ensure that every patient receives the coverage they need, when they need it, without unnecessary delays. You will also serve as a trusted advisor to our clinical teams, helping them navigate complex payer landscapes and optimize revenue cycles.

Key Responsibilities

Insurance Verification & Prior Authorization

• Conduct thorough verification of patient insurance coverage and benefits using industry‑standard platforms such as Availity, UHC, Cigna, Medicaid, Medicare, Railroad, and regional payers.
• Obtain and document prior authorizations for all required services, ensuring compliance with payer policies and clinic protocols.
• Perform re‑verification during year‑end periods and proactively identify coverage changes that may affect patient care.
• Maintain accurate, up‑to‑date insurance records in the Prompt EMR system, ensuring data integrity and accessibility for clinical staff.

Claims & Billing Support (Future Phase)

• Assist with claims follow‑up, including tracking, status updates, and resolution of denials or rejections.
• Communicate with insurance providers via phone, email, and portal to resolve billing issues and expedite payment cycles.
• Collaborate with billing specialists to ensure accurate claim submission and documentation.

Patient Intake & Scheduling Support

• Support patient intake processes by collecting and verifying insurance information during scheduling.
• Coordinate with Primary Care Clinicians (PCCs) to align insurance workflows with clinical scheduling and treatment plans.
• Provide timely updates to patients regarding insurance status, authorizations, and any required documentation.

Communication & Coordination

• Collaborate closely with PCCs, administrative staff, and clinic managers to streamline insurance workflows and reduce bottlenecks.
• Participate in PCC‑related meetings, offering insights and suggestions to improve operational efficiency.
• Serve as a point of contact for insurance‑related inquiries from patients, staff, and external partners.

Data Entry & Documentation

• Maintain meticulous insurance and authorization records, ensuring compliance with HIPAA and internal data security policies.
• Utilize the clinic‑provided email domain for secure portal access and communication with payers.
• Generate regular reports on verification status, authorization timelines, and claim metrics to support clinic leadership.

Essential Qualifications

• Minimum of 1 year of experience in medical administrative support or a dedicated Insurance Verification & Authorization role.
• In‑depth familiarity with U.S. insurance verification workflows, payer portals, and benefit coordination.
• Strong communication skills—both written and verbal—in English, with the ability to convey complex information clearly and professionally.
• Excellent organizational skills, with a proven track record of managing multiple tasks, deadlines, and priorities in a fast‑paced environment.
• Comfortable working within Mountain Time Zone business hours, with flexibility to accommodate occasional cross‑time‑zone collaboration.

Preferred Qualifications

• Experience with electronic medical record (EMR) systems, particularly Prompt EMR or similar platforms.
• Knowledge of payer‑specific policies, including Medicare, Medicaid, and private insurance plans.
• Prior experience in a remote or virtual assistant capacity, demonstrating self‑motivation and time‑management skills.
• Familiarity with claims processing, denial management, and billing follow‑up.
• Certification or coursework in health information management, medical billing, or related fields.

Skills & Competencies

• Attention to Detail: Precision in data entry and verification to prevent errors that could delay patient care.
• Problem‑Solving: Ability to troubleshoot insurance issues, navigate complex payer systems, and find timely solutions.
• Customer‑Centric Mindset: Empathy for patients and a commitment to providing clear, compassionate communication.
• Technology Proficiency: Comfortable using multiple software platforms, including EMR, payer portals, and Microsoft Office.
• Team Collaboration: Strong interpersonal skills to work effectively with clinicians, billing staff, and external partners.
• Adaptability: Thrives in a dynamic environment where processes evolve and new challenges arise.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. As an Insurance Verification & Authorization Specialist, you will have access to a range of professional development resources:

• Structured onboarding program with mentorship from experienced clinicians and administrators.
• Access to online training modules covering advanced payer systems, compliance updates, and industry best practices.
• Opportunities to lead cross‑functional projects, such as workflow optimization or technology implementation.
• Clear career pathways to roles such as Claims Analyst, Revenue Cycle Manager, or Clinical Operations Coordinator.
• Regular performance reviews and goal‑setting sessions to align your growth with brighthush’s strategic objectives.

Work Environment & Culture

brighthush’s culture is built on the pillars of integrity, innovation, and inclusion. As a remote team member, you’ll experience:

• Transparent communication channels, including weekly virtual huddles and an open‑door policy with leadership.
• A supportive network of peers who share knowledge, celebrate successes, and collaborate on solutions.
• Flexible work arrangements that respect work‑life balance while maintaining accountability and productivity.
• Regular virtual team‑building events, wellness initiatives, and community outreach projects.
• A commitment to diversity, equity, and inclusion, ensuring that every voice is heard and valued.

Compensation & Benefits

• Competitive Salary: Reflective of your experience, expertise, and the value you bring to brighthush.
• Health & Wellness: Comprehensive medical, dental, and vision coverage, along with a flexible spending account (FSA) and health savings account (HSA) options.
• Retirement Planning: 401(k) plan with company match to help you secure your financial future.
• Paid Time Off: Generous vacation, sick leave, and personal days to support your well‑being.
• Professional Development: Reimbursement for relevant certifications, conferences, and continuing education courses.
• Technology Stipend: Support for home office equipment, high‑speed internet, and necessary software licenses.
• Employee Assistance Program: Confidential counseling and support services for personal and professional challenges.

How to Apply

If you are passionate about making a tangible difference in patient care, thrive in a remote setting, and possess the skills outlined above, we encourage you to apply today. Join brighthush and become part of a team that is redefining rehabilitation services through innovation, compassion, and operational excellence.

Ready to take the next step? Click the link below to submit your application and start your journey with brighthush.