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TYPE OF WORK
Full Time
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SALARY
$6-8
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HOURS PER WEEK
40
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DATE UPDATED
Aug 22, 2026
**Remote Position | Outpatient Physical Therapy & Diagnostics**
Edge Physical Therapy & Diagnostics is seeking an experienced **Virtual Prior Authorization & Insurance Verification Specialist** to support our outpatient physical therapy and diagnostic practices.
This is a remote administrative position focused on ensuring patients are properly verified, authorized, and documented so care can proceed without preventable delays, denials, or lost revenue.
What You Will Be Responsible For
* Verifying insurance eligibility and benefits for new and existing patients
* Determining patient copays, coinsurance, deductibles, visit limits, and expected patient responsibility
* Determining whether prior authorization or referral is required
* Submitting and tracking prior authorization requests
* Monitoring authorization expiration dates and remaining authorized visits
* Requesting additional visits before current authorizations expire
* Communicating authorization limitations or issues to clinic staff
* Reviewing upcoming schedules to ensure patients are appropriately verified and authorized
* Monitoring progress notes and other documentation needed for authorization requests
* Faxing Plans of Care, Progress Notes, recertifications, and other required documentation
* Tracking physician signatures and following up on unsigned documentation
* Reviewing incoming faxes for authorizations and signed Plans of Care
* Uploading completed authorizations and signed documents into the correct patient chart
* Maintaining accurate authorization, insurance, and documentation information within the EHR
* Following assigned tasks through completion rather than simply submitting requests and waiting for someone else to follow up
Required Experience
* **Previous healthcare prior authorization experience is required**
* Experience verifying insurance eligibility and benefits
* Comfortable communicating directly with insurance companies
* Experience using insurance payer portals
* Strong attention to detail
* Ability to independently manage a large number of patients and deadlines
* Strong follow-up and organizational skills
* Comfortable working remotely and communicating with multiple clinic locations
* Ability to accurately document insurance and authorization information
Preferred Experience
* **TheraOffice experience is strongly preferred**
* Outpatient physical therapy experience
* Experience with Medicare and Medicare Advantage plans
* Experience with Humana, UnitedHealthcare, Cigna, Aetna, BCBS, WellCare, Medicaid, VA, and similar payers
* Experience with Availity and other insurance portals
* Experience obtaining authorizations for physical therapy
* Experience faxing and tracking Plans of Care and physician signatures
What Success Looks Like
The successful candidate will independently manage the administrative process from beginning to end:
**VERIFY → AUTHORIZE → MONITOR → OBTAIN DOCUMENTATION → SEND → FOLLOW UP → RECEIVE → UPLOAD → CLOSE**
Our goal is for patients to receive treatment without preventable interruptions caused by missing insurance verification, expired authorizations, incomplete documentation, or unsigned Plans of Care.
## Ideal Candidate
We are looking for someone who is proactive and does not wait for problems to occur.
You should be the type of person who notices that a patient has only two authorized visits remaining and begins working on the next authorization **before** the patient runs out.
You should be comfortable taking ownership of your assigned patients, following up repeatedly when necessary, and making sure tasks are completely resolved.
**This position is best suited for someone with prior authorization experience who can work independently with minimal day-to-day supervision.**
Please submit your resume and include a brief description of your experience with:
* Prior authorizations
* Insurance verification
* Physical therapy or outpatient rehabilitation
* TheraOffice, if applicable
* Insurance payer portals
