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
- Athena
- 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
- Athena experience
- Insurance verification experience
- Prior authorization knowledge
- Appeals experience
Benefits
- 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
Skills Required
- Experience navigating and working within Athena
- 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
What We Do
The Healthcare Business Academy (HBA) and its associated brand Virtual Rockstar Careers aim to educate, empower, and provide specialized services, particularly virtual assistants and recruiting solutions, to the physical therapy community to increase income, impact, and freedom.
