Senior Insurance Verification & Prior Authorization Specialist – Remote Virtual Assistant for brighthush Physical Therapy Practice, Supporting Patient Access & Workflow Excellence

About brighthush

brighthush is a trailblazer in the healthcare arena, fusing state‑of‑the‑art technology with a heartfelt commitment to patient care. Our mission is to eliminate administrative roadblocks so that clinicians can focus on what they do best—restoring mobility and improving lives. With a culture steeped in integrity, community, and family values, brighthush is dedicated to building enduring relationships with patients, providers, and partners alike. Whether you’re a seasoned professional or an emerging talent, you’ll find a place where your expertise is valued and your growth is nurtured.

Why Join brighthush?

As a fully remote team member, you’ll enjoy the freedom to work from any corner of the United States—provided you’re aligned with U.S. Central Time business hours. Our remote‑first philosophy means you can balance your personal life while contributing to a dynamic, collaborative environment that prizes innovation, teamwork, and continuous learning. We invest in your professional development through mentorship, training, and access to industry conferences. In return, you’ll receive competitive compensation, a comprehensive benefits package, and a supportive culture that celebrates diversity and inclusion.

Key Responsibilities

• Insurance Verification & Prior Authorization: Conduct end‑to‑end verification of patient insurance coverage and manage prior authorization requests for all physical therapy services, ensuring timely approvals and minimal patient out‑of‑pocket costs.
• Authorization Management: Track, document, and follow up on all prior authorization submissions, maintaining meticulous records of carrier responses, denial reasons, and appeals.
• Provider Communication: Act as the primary liaison between patients, clinicians, and insurance carriers, delivering clear, concise updates and resolving authorization issues promptly.
• HIPAA Compliance: Process medical records requests and other sensitive data in strict adherence to HIPAA regulations, safeguarding patient privacy and data integrity.
• Administrative Support: Assist with data entry, scheduling, document management, and other clerical tasks that keep the practice running smoothly.
• Continuous Improvement: Identify bottlenecks in the authorization workflow, propose process enhancements, and collaborate with cross‑functional teams to implement solutions that elevate patient experience.
• Quality Assurance: Review authorization documentation for accuracy, completeness, and compliance with carrier guidelines and internal policies.
• Patient Advocacy: Educate patients on their insurance benefits, explain authorization processes, and provide guidance on appeals or alternative coverage options.

Essential Qualifications

• Minimum of 2 years’ experience in insurance verification and prior authorization within a physical therapy or outpatient rehabilitation setting.
• Proficiency with brighthush portals and related electronic health record (EHR) systems.
• Exceptional attention to detail and strong organizational skills, ensuring accuracy in every task.
• Excellent written and verbal communication skills in English, with a professional tone and clear articulation.
• Ability to work independently, manage multiple priorities, and meet deadlines in a fast‑paced environment.
• Reliable high‑speed internet connection and backup system to maintain coverage during outages.
• Availability to work U.S. Central Time business hours (8 a.m. – 5 p.m. CT).
• Basic understanding of Medicare, Medicaid, and commercial insurance structures.

Preferred Qualifications

• Experience with electronic health record (EHR) systems such as Epic, Cerner, or Allscripts.
• Knowledge of insurance carrier policies, benefit structures, and prior authorization guidelines.
• Background in customer service or patient liaison roles, demonstrating empathy and problem‑solving skills.
• Certification in medical billing or coding (e.g., Certified Professional Biller, Certified Professional Coder).
• Experience working remotely in a virtual team environment, using collaboration tools like Slack, Microsoft Teams, or Zoom.
• Familiarity with data analytics tools (e.g., Excel, Power BI) to track authorization metrics.

Skills & Competencies

• Analytical Thinking: Ability to interpret complex insurance policies and translate them into actionable steps.
• Communication: Clear, concise, and professional communication with patients, clinicians, and insurance representatives.
• Time Management: Prioritize tasks effectively, ensuring timely completion of authorizations and records requests.
• Adaptability: Thrive in a constantly evolving healthcare landscape, quickly learning new tools and procedures.
• Team Collaboration: Work seamlessly with clinical staff, billing teams, and administrative personnel to support patient care.
• Technology Proficiency: Comfortable navigating multiple software platforms, data entry, and virtual communication tools.
• Problem Solving: Identify root causes of authorization denials and develop creative solutions to overcome them.
• Customer‑Centric Mindset: Place patient satisfaction at the forefront of every interaction.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and providing clear pathways for advancement. As an Insurance Verification & Prior Authorization Specialist, you’ll have the opportunity to:

• Progress to a Senior Authorization Coordinator role, overseeing larger caseloads and mentoring junior staff.
• Transition into a Clinical Operations Manager position, shaping workflow efficiencies across the entire practice.
• Participate in cross‑functional projects, such as implementing new EHR integrations or developing patient outreach programs.
• Access continuous learning resources, including webinars, industry conferences, and internal training modules focused on healthcare compliance, insurance regulations, and technology adoption.
• Earn professional certifications with our tuition reimbursement program.
• Lead quality improvement initiatives that directly impact patient outcomes and operational cost savings.

Work Environment & Company Culture

brighthush’s remote culture is built on trust, transparency, and mutual respect. We foster a collaborative atmosphere where ideas are valued and contributions are recognized. Our virtual team enjoys:

• Regular virtual huddles and team‑building activities to maintain connection and camaraderie.
• Flexible scheduling within core business hours, allowing you to balance personal commitments.
• A supportive leadership team that encourages open dialogue and values your input.
• A commitment to diversity, equity, and inclusion, ensuring every team member feels heard and empowered.
• Access to a digital resource library with best‑practice guides, compliance updates, and wellness content.
• Annual virtual retreats that combine professional development with social engagement.

Compensation & Benefits

We offer a competitive salary range of $6.00–$7.00 per hour, commensurate with experience and qualifications. In addition to base pay, you’ll receive:

• Health, dental, and vision insurance options with generous coverage and low employee premiums.
• Paid time off (PTO) and holidays, with a flexible accrual system that supports work‑life balance.
• Professional development stipend to support certifications, courses, or conferences.
• Technology stipend to equip you with the necessary hardware and software for remote work.
• Employee assistance program (EAP) for mental health and wellness support.
• Retirement savings plan with company match, helping you secure your future.
• Wellness incentives, including gym membership discounts and mindfulness app subscriptions.
• Annual performance bonus potential based on individual and company metrics.

How to Apply

Ready to make a meaningful impact on patient care while enjoying the flexibility of remote work? Submit your application through our secure portal and join the brighthush family today. We look forward to exploring how your expertise can help us continue to deliver exceptional rehabilitation services to communities across the United States.