Mid-Level Virtual Medical Billing Specialist - Remote - $16-19/hour
Wellness Works Management Partners
Mid-level
$33.3k - $39.5k YEARLY
Remote
Posted 1 week 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
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- Company: Fly High Business Builders LLC, DBA Wellness Works Management Partners \& Wellness Works Medical Billing
- • Friday, 8:30 AM \- 5:00 PM ET (30\-minute unpaid lunch) Location: Virtual/Remote
- • 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.
- • 5:00 PM Eastern Time What We Offer
- • $19\.00 per hour Expected hours: 30 – 40 per week
- • 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:
Job Type: Full\-time, Remote
Schedule: Monday \
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 \
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 \
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 \
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 \
OT/PT/SLP Specific Benefit Verification and Authorization: 3 years (Required)
* Medical Billing For OT/PT/SLP: 3 years (Preferred)
Work Location: Remote