Mid-Level Virtual Medical Billing Specialist - Remote - $16-19/hour

Wellness Works Management Partners

Mid-level $33.3k - $39.5k YEARLY Remote

Posted 4 weeks ago

Job summary

Join Fly High Business Builders as a Virtual Medical Billing Specialist supporting a pediatric therapy practice. You’ll lead the management of authorizations and eligibility checks using your expertise in insurance processes for optimal patient care. Wellness Works is an innovative company offering a collaborative work culture and growth opportunities in the healthcare sector. Apply now for a chance to contribute at the highest level in a remote setting!

Role details
Role
Full-time
Industry
Healthcare And Medical
Employment
Fulltime
Experience
5 Years +
Responsibilities
  • Verify insurance eligibility, benefits, and exclusions for patients
  • Communicate with insurance companies regarding deductibles, co-pays, and patient responsibility
  • Follow up on eligibility questions and process inconsistent data reflected in claims
  • Submit therapy authorization requests to insurance companies
  • Track and request new authorizations as needed
  • Maintain confidentiality of patient information in accordance with HIPAA regulations
Requirements
  • 5+ years of experience managing authorizations, eligibility, and verification of benefits for Occupational Therapy and Speech Therapy clinics
  • Pediatric OT/PT/SLP experience preferred
  • Prior experience in private practice settings
  • Expertise working in insurance portals and data entry into EMRs
Benefits
  • Remote work flexibility
  • Opportunity for career growth
  • Performance-based bonuses tied to company performance
Key skills
Medical Billing Authorization Management Eligibility Verification Strong Attention To Detail Clear Communication Insurance Verification Data Entry Medical Terminology Coding Proficiency In EMR Systems Fusion Web Clinic
🎯 Beat 99% of ATS Systems
94%

⚠️ Only 15% of resumes pass ATS
Check yours now

✓ Skills Match: 85%
✓ Experience: ??%
⚠️ Missing Keywords: ??
    Company: Fly High Business Builders LLC, DBA Wellness Works Management Partners \& Wellness Works Medical Billing
    Job Type: Full\-time, Remote
    Schedule: Monday \
  • • Friday, 8:30 AM \- 5:00 PM ET (30\-minute unpaid lunch)
  • Location: Virtual/Remote
    About Us
    Wellness Works Management Partners is changing the way healthcare is delivered by optimizing the way private practices function. From fractional human resources solutions to revenue cycle management, we are a deconstructed MSO elevating the growth trajectory for private healthcare practices throughout the United States.
    Our Medical Billing Division is seeking a dedicated Virtual Medical Billing Specialist to join our team, supporting one of our Pediatric Occupational Therapy \& Speech Therapy practices with comprehensive authorization and eligibility management.
    Job Summary
    We are looking for an experienced Virtual Authorization and Eligibility Medical Billing Specialist to manage all day\-to\-day functions for authorizations and eligibility checks for a pediatric therapy practice. This role is critical in ensuring seamless revenue cycle management and optimal patient care delivery. Our roles require a lot from our employees and reliability, expertise, and consistency of performance is crucial. Our average retention across our organizations is over 8 years per employee. We strive to attract purpose\-driven employees with strong expertise that thrive in hitting deadlines, clear communication, and have a TYPE A personality. This is a culture of accountability so we are specifically seeking those that like to outperform, out\-produce, and out\-detail the standard employee.
    Key Responsibilities
    Insurance Verification \& Benefits Management:
    Verify all insurance eligibility, benefits, and exclusions for Occupational Therapy \& Speech Therapy patients
    Communicate directly with insurance companies to check deductibles, co\-pays, co\-insurance, and calculate patient responsibility
    Follow up on eligibility questions and process inconsistent data reflected in claims related to benefits misquoted
    Enter all benefits into benefit forms and follow up with patients regarding their coverage
    Calculate all costs related to services with worst\-case and best\-case scenario coverage options
    Complete good faith estimates as required
    Authorization Management:
    Check on authorization requirements for therapy services
    Submit therapy authorization requests to insurance companies
    Track existing authorizations and request new authorizations as needed
    Ensure no denials or visits are delivered without proper authorizations in place
    Data Management \& Documentation:
    Process and upload information from E\-Bridge Software
    Perform data entry to ensure all records are accurately processed and EMR is up\-to\-date
    Review and analyze medical records to ensure accurate authorizations and eligibility completion
    Re\-verify patient insurance coverage based on denial codes
    Maintain confidentiality of patient information and adhere to HIPAA regulations
    Collaboration \& Communication:
    Collaborate with healthcare providers and staff to resolve coding and billing issues related to authorizations and eligibility
    Coordinate follow\-up actions related to medical billing as assigned by the Senior Medical Billing \& RCM Manager
    Utilize knowledge of medical terminology and coding guidelines for authorizations and eligibility
    Compensation: (NON\-NEGOTIABLE \
  • • DON'T APPLY IF NOT IDEAL FOR YOUR GOALS)
  • $16 \
  • • $19 per hour based on over 5 years of experience relevant to OT/PT/SLP Authorization \& Eligibility \& Medical Billing Expertise
  • Important: Please note our roles do not include benefits at this time. We are looking to implement some form of benefits in 2026/2027 based on growth of the organization.
    Please also be advised that our roles do not include any paid time off. There are times where we offer discretionary bonuses tied to company performance in alignment with holidays but there is no paid time off.
    Experience Requirements:
    5\+ years of experience managing authorizations, eligibility, and verification of benefits for Occupational Therapy and Speech Therapy clinics
    Pediatric OT/PT/SLP experience preferred
    Prior experience in private practice settings (Physical Therapy, Occupational Therapy, Speech Therapy preferred)
    Expertise working in insurance portals, calling insurance companies, and data entry into EMRs
    Technical Skills:
    Experience with Fusion Web Clinic EMR by Therapy Brands highly preferred
    Strong technology skills and ability to learn new software and EMR systems
    Proficiency in processing information through various insurance portals
    Knowledge \& Skills:
    Strong understanding of medical terminology, anatomy, and physiology
    Comprehensive knowledge of insurance billing processes and reimbursement methodologies
    Excellent attention to detail and accuracy in coding and billing processes
    Strong, clear communication skills to effectively interact with healthcare providers, insurance companies, and patients
    Personal Attributes:
    Hard working, diligent, and detail\-oriented
    Extremely reliable and responsive
    Ability to work independently in a remote environment
    Must be available Monday\-Friday, 8:30 AM \
  • • 5:00 PM Eastern Time
  • What We Offer
    Join a growing company that is revolutionizing healthcare delivery for private practices across the United States. This remote position offers the opportunity to work with OT/PT/SLP practices throughout the US, opportunity to learn and grow! We are innovative and looking for game\-changers that want to co\-create and contribute at the highest level to our organization and the practices we serve.
    How to Apply
    Please submit your resume highlighting your relevant experience in medical billing, authorization management, and eligibility verification, particularly in therapy practices. Include specific examples of your experience with EMR systems and insurance authorization processes. Please be advised we are seeking candidates who are detail oriented and part of our process is answering application questions thoroughly and authentically. We are not just looking at your resume as that is just a GPS of employers but the application questions fill in the story of who you are and what you bring to the table and how you are a vehicle of change!
    Wellness Works Management Partners is an equal opportunity employer committed to creating an inclusive environment for all employees.
    Job Type: Full\-time
    Pay: $16\.00 \
  • • $19\.00 per hour
  • Expected hours: 30 – 40 per week
    Schedule:
    8 hour shift
    Monday to Friday
    Application Question(s):
    Why are you currently seeking new employment? What is causing the change in employment? (TRANSPARENCY IS CRUCIAL \
  • • REQUIRED QUESTION)
  • Please share specifics on your direct expertise in medical billing, coding, authorizations, and eligibility specifically for the Physical Therapy, Occupational Therapy, or Speech Therapy areas? (TRANSPARENCY IS CRUCIAL \
  • • REQUIRED QUESTION)
  • If your last employment opportunity was less than 3 years of tenure, please explain lack of retention and what contributed to it. If it was longer than 3 years, identify what they did to help your retention with the company. (TRANSPARENCY IS CRUCIAL \
  • • REQUIRED QUESTION)
  • Please confirm your compensation goals and please understand the compensation outlined is firm and non\-negotiable. If it is not in alignment with your long term 3\+ year goals, then we prefer your transparency. (TRANSPARENCY IS CRUCIAL \
  • • REQUIRED QUESTION)
  • What separates you from others in this industry? How does your expertise and skillset standout from other medical billing professionals? (TRANSPARENCY IS CRUCIAL \
  • • REQUIRED QUESTION)
  • Experience:
    OT/PT/SLP Specific Benefit Verification and Authorization: 3 years (Required)
    * Medical Billing For OT/PT/SLP: 3 years (Preferred)
    Work Location: Remote