Senior Medical Virtual Assistant – Insurance Verification & Prior Authorization Specialist for Remote Physical Therapy – Championing Revenue Integrity, Patient Care Excellence, and Operational Efficiency at brighthush
About brighthush
brighthush is more than a physical therapy practice – it’s a movement toward holistic, evidence‑based wellness that empowers patients to reclaim control over their health. By eliminating unnecessary injections, medications, and surgeries, we focus on functional restoration, preventive care, and personalized treatment plans that yield lasting results. Our forward‑thinking approach has positioned us as a leader in the rapidly evolving wellness industry, and we’re expanding our footprint into a comprehensive center that integrates nutrition, mental health, and community outreach.
At brighthush, we believe that exceptional care starts with exceptional processes. That’s why we invest heavily in operational excellence, data integrity, and technology that streamlines every step of the patient journey. From the first click on our website to the final follow‑up, we aim to deliver a seamless experience that is both compassionate and efficient.
Why Join brighthush?
As a fully remote organization, brighthush offers the freedom to work from anywhere while being part of a high‑impact, collaborative team. We value accuracy, communication, accountability, and efficiency—qualities that are essential to delivering top‑tier patient care. If you thrive in a detail‑oriented environment, enjoy working with insurance systems, and want to make a tangible difference in patients’ lives, brighthush is the place for you.
Beyond the flexibility, you’ll join a culture that celebrates continuous improvement, embraces innovation, and rewards results. Our remote model is built on trust, transparency, and a shared commitment to excellence. You’ll have the opportunity to shape the future of revenue cycle management in a practice that is redefining wellness care.
Position Overview
We are seeking an experienced Medical Virtual Assistant to specialize in Insurance Verification and Prior Authorization. In this role, you will be the first line of defense against billing errors, ensuring that every patient’s insurance information is accurate, up‑to‑date, and compliant with payer requirements. Your work will directly support the clinic’s leadership and administrative team, creating a smoother workflow for the in‑office staff and improving overall revenue integrity.
Key Responsibilities
- Insurance Verification & Benefits Review:
- Verify patient insurance eligibility and benefits before each appointment.
- Review copays, deductibles, authorization requirements, and coverage limitations.
- Update patient records with current and accurate insurance information.
- Ensure all insurance IDs and policy numbers are entered correctly into the EMR system.
- Maintain a log of verification activities and flag any discrepancies for follow‑up.
- Proactively identify potential coverage gaps and communicate solutions to the clinical team.
- Prior Authorizations:
- Obtain and track prior authorizations for therapy services and procedures.
- Communicate directly with insurance providers via phone and payer portals.
- Follow up on pending authorizations and document updates accurately.
- Maintain organized records of authorization approvals, denials, and expiration dates.
- Escalate complex authorization issues to senior billing staff when necessary.
- Prepare concise authorization summaries for clinicians to review before appointments.
- Insurance Coordination & Claims Support:
- Clarify coverage details with insurance companies and resolve discrepancies.
- Track pending insurance claims and authorization‑related issues.
- Identify and prevent claim rejections caused by inaccurate information.
- Support clean claims processing by ensuring information is accurate the first time.
- Collaborate with the billing team to reconcile claim status and resolve denials.
- Generate monthly reports on claim performance and identify trends for improvement.
- Administrative & Team Support:
- Communicate daily with the clinic team regarding verification and authorization updates.
- Assist with scheduling support if needed during staff absences.
- Maintain HIPAA compliance and patient confidentiality at all times.
- Prepare reports on verification metrics and authorization turnaround times.
- Participate in weekly virtual huddles to share insights and best practices.
- Contribute to the development of SOPs for insurance processes.
- Tools & Systems:
- Proficient use of PROMPT EMR for patient data entry and record keeping.
- Experience with Weave phone system for efficient communication.
- Familiarity with Breakthrough marketing platform for patient outreach.
- Comfortable navigating insurance portals and payer systems.
- Basic scripting or automation skills to streamline repetitive tasks.
- Ability to quickly learn new software and adapt to evolving tech stacks.
Essential Qualifications
- Minimum of 2 years’ experience in insurance verification and prior authorizations within a healthcare setting.
- Strong understanding of insurance workflows, eligibility checks, and payer communication protocols.
- Excellent verbal and written English communication skills.
- Comfortable speaking directly with insurance providers over the phone.
- High attention to detail and ability to work with minimal distractions.
- Highly organized with strong documentation and follow‑through skills.
- Demonstrated commitment to HIPAA compliance and patient confidentiality.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and cloud collaboration tools.
- Experience with data entry and maintaining accurate electronic health records.
- Strong analytical skills to interpret insurance policies and identify coverage nuances.
Preferred Qualifications
- Experience in a physical therapy or outpatient healthcare setting.
- Knowledge of payer‑specific authorization requirements for physical therapy services.
- Proficiency in additional EMR platforms beyond PROMPT.
- Experience with automated verification tools or scripting to streamline workflows.
- Previous remote work experience with a distributed team.
- Certifications in medical billing or revenue cycle management (e.g., Certified Professional Biller).
- Familiarity with payer portals such as CareFax, eHealth, or similar platforms.
- Experience in coaching or training new team members on insurance processes.
Skills & Competencies
- Analytical thinking and problem‑solving abilities.
- Strong interpersonal skills for building rapport with insurance representatives.
- Time‑management skills to juggle multiple verification requests simultaneously.
- Adaptability to changing payer policies and technology updates.
- Proactive mindset to anticipate and mitigate potential billing issues.
- Team‑player attitude with a willingness to collaborate across departments.
- Self‑motivation and a drive for continuous improvement.
- Excellent organizational skills and meticulous attention to detail.
- Comfortable working independently while maintaining clear communication with the team.
Career Growth & Learning Opportunities
At brighthush, we believe in continuous professional development. As a Medical Virtual Assistant, you will have access to:
- Regular training sessions on the latest insurance regulations and payer updates.
- Mentorship from senior billing and compliance managers.
- Opportunities to transition into roles such as Billing Analyst, Revenue Cycle Manager, or Operations Coordinator.
- Participation in cross‑functional projects that shape the future of our wellness center.
- Access to industry conferences, webinars, and certification programs.
- Structured career path with clear milestones and performance reviews.
- Involvement in process improvement initiatives that directly impact revenue and patient satisfaction.
Work Environment & Culture
Our remote culture is built on trust, transparency, and collaboration. You will:
- Work with a supportive team that values open communication.
- Participate in weekly virtual huddles to align on priorities and share best practices.
- Enjoy a flexible schedule that respects work‑life balance.
- Benefit from a culture that celebrates accuracy, accountability, and continuous improvement.
- Engage in quarterly virtual team‑building events and wellness challenges.
- Have access to a digital wellness program to support your physical and mental health.
- Receive regular feedback and coaching to help you grow professionally.
- Be part of a mission‑driven organization that prioritizes patient outcomes over profit.
Compensation & Benefits
We offer a competitive hourly rate of $6.00–$7.00, commensurate with experience. In addition to base pay, you will receive:
- Health, dental, and vision insurance options (subject to eligibility).
- Paid time off and holidays.
- Professional development stipend for courses, certifications, or conferences.
- Access to a digital wellness program to support your physical and mental health.
- Employee referral bonus program.
- Flexible work hours and the ability to work from any location.
- Monthly stipend for home office equipment and high‑speed internet.
- Performance‑based bonuses tied to revenue integrity metrics.
- Annual salary review and potential for upward mobility within the organization.
How to Apply
Ready to make a meaningful impact on patient care while enjoying the flexibility of remote work? Click the link below to submit your application and join the brighthush team.
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