Revenue Cycle Support - Virtual Assistant

Rockstar; Metro Manila; Remoto; PHP 3.785.000 - 5.678.000; Tempo pieno

Descrizione del lavoro

Rockstar is seeking a dedicated Insurance & Authorization Specialist for a fully remote role supporting a Arkansas-based client delivering home-based healthcare.

The successful candidate will verify insurance eligibility and benefits, manage prior authorizations, and handle denials and appeals, drawing on Athena experience and meticulous attention to detail to keep intake and billing workflows efficient.

Competenze

• Experience verifying insurance eligibility and benefits.
• Knowledge of prior authorization requirements, submission, and follow-up.
• Experience handling claim denials, preparing appeals, and submitting supporting documentation.
• Strong attention to detail and follow-through.
• Clear written and verbal communication skills.

Mansioni

• Verify patient insurance eligibility and benefits; document coverage details.
• Submit prior authorization requests with complete supporting documentation and follow up.
• Review denied claims and prepare appeals with documentation; track until resolution.
• Keep authorization and appeal status current in Athena; coordinate with intake and billing teams.

Conoscenze

Insurance verification

Prior authorization

Denials & appeals

Attention to detail

Communication skills

AthenaHealth experience

Strumenti

AthenaHealth system

Descrizione del lavoro

Revenue Cycle Support - Virtual Assistant

• Work Experience Medical Biller, Medical Billing, Claims Management, RCM, Denial Management,
• Remote Job

About Us

Rockstar is an industry-leading staffing company based in Arizona that helps healthcare businesses across the United States streamline operations by connecting them with skilled remote professionals. We partner with talented individuals from around the world, providing meaningful remote career opportunities that empower personal and professional growth.

At Rockstar, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of integrity, excellence, and long-term service. Every placement is an opportunity to make a meaningful difference, for the practice, for patients, and for you.

Job Description

This is a remote position.

Rockstar is hiring a full-time Insurance & Authorization Specialist on behalf of our client, a rapidly growing home-based healthcare organization headquartered in Arkansas.

This role supports the intake and billing teams as their workload grows. The VA will verify patient insurance eligibility and benefits, submit and follow up on prior authorizations, and handle claim denials and appeals. The goal is to improve verification accuracy and reduce the backlog of pending authorizations and denials.

The ideal candidate has hands-on Athena experience and a working knowledge of authorization requirements and the appeals process.

About the Client

Our client provides comprehensive mobile primary care and post-hospital follow-up services, specializing in supporting patients who face barriers to traditional healthcare, including seniors and individuals managing chronic conditions. Their team of medical professionals brings high-quality, personalized care directly to patients’ homes, ensuring continuity and compassion every step of the way.

The organization’s mission is to make healthcare more accessible, proactive, and human by combining hands-on home visits with modern remote patient monitoring systems.

Key Responsibilities

Insurance Verification

• Verify patient insurance eligibility and benefits accurately
• Document coverage details in the patient record
• Flag coverage issues before they delay patient intake

Prior Authorizations

• Identify when prior authorization is required based on payer requirements
• Submit prior authorization requests with complete supporting documentation
• Follow up on pending authorizations until they are approved or resolved
• Work down the backlog of pending authorizations

Denials & Appeals

• Review denied claims and identify the reason for each denial
• Prepare appeals and submit supporting documentation to payers
• Track appeals through to resolution
• Work down the backlog of pending denials

Intake & Billing Support

• Keep authorization and appeal status current in Athena
• Coordinate with intake and billing team members on open items
• Maintain organized, accurate records of verification, authorization, and appeal activity

Tools & Systems

• Microsoft Tools

Requirements

• Athena experience, including navigating and working within the system
• Experience verifying insurance eligibility and benefits accurately
• Knowledge of prior authorization requirements, submission, and follow-up
• Experience handling claim denials, preparing appeals, and submitting supporting documentation
• Strong attention to detail and follow-through
• Clear written and verbal communication skills

Non-Negotiables

• Insurance verification experience
• Prior authorization knowledge
• Appeals experience
  
• Competitive salary commensurate with experience.
• Opportunities for professional development and growth.
• Work in a dynamic and supportive team environment.
• Make a meaningful impact by helping to build and strengthen families across the Globe