We’re a staffing agency that exists to help people achieve freedom. Does the following describe you? Superb written and spoken English (we assess skills unassisted by AI tools). Entrepreneurial, attentive to others, curious, and hungry for growth.
Insurance Authorization Specialist
Location
United States + 180 moreAll locations: United States, Canada, Brazil, Colombia, Argentina, Chile, Venezuela, Bolivarian Republic Of, Bolivia, Plurinational State Of, Ecuador, French Guiana, Guyana, Paraguay, Peru, Suriname, Uruguay, Mexico, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, Panama, Dominican Republic, Puerto Rico, Bahamas, Guadeloupe, Haiti, Jamaica, Martinique, Montserrat, United Kingdom, Germany, France, Estonia, Portugal, Hungary, Poland, Ukraine, Romania, Bulgaria, Czech Republic, Slovakia, Belarus, Moldova, Republic Of, Sweden, Greece, Belgium, Italy, Ireland, Switzerland, Netherlands, Finland, Malta, Denmark, Lithuania, Croatia, Spain, Austria, Bosnia And Herzegovina, Iceland, Luxembourg, Macedonia, The Former Yugoslav Republic Of, Montenegro, Norway, Serbia, Slovenia, Albania, Cyprus, Latvia, Monaco, South Africa, Egypt, Algeria, Angola, Benin, Botswana, Burkina Faso, Burundi, Cameroon, Cape Verde, Central African Republic, Chad, Congo, Côte D'ivoire, Congo, The Democratic Republic Of The, Equatorial Guinea, Eritrea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-bissau, Kenya, Lesotho, Liberia, Libyan Arab Jamahiriya, Madagascar, Malawi, Mali, Mauritania, Mauritius, Mayotte, Morocco, Mozambique, Namibia, Niger, Nigeria, Réunion, Rwanda, Senegal, Seychelles, Sierra Leone, Somalia, Sudan, Swaziland, Tanzania, United Republic Of, Togo, Tunisia, Uganda, Zambia, Zimbabwe, Georgia, Turkey, Israel, United Arab Emirates, Armenia, Azerbaijan, Bahrain, Iraq, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Palestinian Territory, Occupied, Yemen, India, Japan, Philippines, Pakistan, Thailand, Singapore, Viet Nam, Taiwan, Province Of China, Indonesia, Cambodia, Lao People's Democratic Republic, Malaysia, Myanmar, Korea, Republic Of, China, Afghanistan, Bangladesh, Bhutan, Kazakhstan, Kyrgyzstan, Maldives, Mongolia, Nepal, Sri Lanka, Tajikistan, Turkmenistan, Uzbekistan, Australia, Papua New Guinea, Kiribati, Palau, French Polynesia, Tuvalu, New Zealand
Posted
2 days ago
Salary
$1K - $1.4K / month
Job Description
Role Description
We’re looking for an Insurance Authorization Specialist to join our growing team at HELM! You’ll be working with our client in the Physical Therapy industry in a remote capacity.
In this role, you will manage:
- Insurance verification
- Pre-certifications
- Authorizations
- Denial resolution for a busy physical therapy and chiropractic practice
You will work with:
- Commercial insurance
- Medicare
- PIP (motor vehicle accident) cases
The ideal candidate has:
- Strong physical therapy insurance experience
- Deep understanding of authorization workflows
- Initiative to prevent denials
- Critical thinking skills
Responsibilities:
- Verify commercial insurance benefits and Medicare coverage
- Handle PIP (motor vehicle accident) case verification and follow-up
- Obtain pre-certifications and authorizations for physical therapy, chiropractic services, MRIs, and durable medical equipment
- Review denial reasons carefully and determine corrective action
- Prepare and submit appeals when necessary
- Monitor visit counts and ensure authorizations are triggered at appropriate milestones
- Communicate with insurance adjusters and, when necessary, attorneys
- Maintain detailed and accurate documentation within the EHR system
- Track authorization status and follow up proactively
- Support reporting and monitoring of denials and revenue-impacting trends
Qualifications
- Physical Therapy Experience is preferred
- Strong experience with insurance verification and authorizations in a physical therapy setting (required)
- Experience handling commercial insurance, Medicare, and PIP cases
- Experience obtaining and appealing pre-certifications
- Ability to analyze denial reasons and identify missing documentation
- Experience working with EHR systems (ClinicMind experience a plus)
- Strong Excel skills for tracking and reporting
- Clear and confident spoken English
- Highly detail-oriented with strong analytical thinking
- Proactive and comfortable taking initiative
- Reliable home office setup with strong internet connection
Benefits
- Remote work opportunity
- Weekly Hours: Monday–Thursday: 9:00 AM – 6:00 PM EST (1-hour lunch), Friday: 8:30 AM – 5:00 PM EST (30-minute lunch)
- Pay Range: $1000 - $1400 per month, depending on experience
- Equipment: BYO Devices
Company Description
Helm is a staffing agency that connects A-Players with meaningful opportunities and strives for growth. If you're ready to make an impact in healthcare operations, we’d love to hear from you.
Does the following describe you?
- Superb written and spoken English (we assess skills unassisted by AI tools)
- Entrepreneurial, attentive to others, curious, and hungry for growth
If so, let’s talk! You can learn more about Helm here , or from our founder’s YouTube podcast.
Job Requirements
- Physical Therapy Experience is preferred
- Strong experience with insurance verification and authorizations in a physical therapy setting (required)
- Experience handling commercial insurance, Medicare, and PIP cases
- Experience obtaining and appealing pre-certifications
- Ability to analyze denial reasons and identify missing documentation
- Experience working with EHR systems (ClinicMind experience a plus)
- Strong Excel skills for tracking and reporting
- Clear and confident spoken English
- Highly detail-oriented with strong analytical thinking
- Proactive and comfortable taking initiative
- Reliable home office setup with strong internet connection
Benefits
- Remote work opportunity
- Weekly Hours: Monday–Thursday: 9:00 AM – 6:00 PM EST (1-hour lunch), Friday: 8:30 AM – 5:00 PM EST (30-minute lunch)
- Pay Range: $1000 - $1400 per month, depending on experience
- Equipment: BYO Devices
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