“Only apply if you have hands-on experience in US medical billing / insurance verification (calling payers, checking eligibility and benefits, etc.). This role requires experience calling insurance payors. Applications without relevant experience will not be considered.”
About Pocket
Pocket provides faster, more affordable insurance verification for physical therapy clinics. We handle the time-consuming process of verifying patient insurance coverage (which typically takes 1-2 hours per patient), allowing front desk staff to focus on patient care and PTs to focus on treatment.
Role Overview
As an Insurance Verification Specialist, you'll verify patient insurance coverage, confirm authorization requirements, and communicate directly with insurance carriers to ensure accurate, complete benefit information before patient appointments.
Key Responsibilities
Insurance Verification
- Conduct U.S. based insurance verification
- Verify patient eligibility and PT benefits by contacting insurance carriers
- Document coverage details including co-pays, deductibles, out-of-pocket expenses, authorization requirements, and visit limits
- Ensure all verifications are completed before scheduled appointments
Authorization Management
- Determine if prior authorization is required
- Identify requirements for submitting authorizations when needed
Documentation & Compliance
- Accurately enter insurance data into internal systems and client EMR platforms
- Maintain up-to-date patient records
- Record all insurance calls using provided software
- Ensure HIPAA compliance and maintain strict confidentiality
Support & Problem Resolution
- Serve as primary contact for PT clinic staff regarding insurance questions
- Proactively identify and resolve coverage discrepancies
- Follow up with insurance carriers to clarify conflicting information
Requirements
Experience
- 2+ years in insurance verification, medical billing, or related healthcare administration
- Working knowledge of U.S. insurance plans, benefits, and medical terminology
Technical Skills
- Proficiency with EMR systems and insurance portals
- Comfortable with Google Suite and Microsoft Office
- Strong data entry skills with exceptional attention to detail
Skills
- Excellent written and verbal communication
- Strong customer service orientation
- Analytical problem-solving abilities
- Collaborative team player
Work Requirements
- Remote position
- Must work weekdays 9 AM - 5 PM U.S. Eastern Time
- Reliable internet connection required
- Personal computer required
- Comfortable with frequent phone communication
Interview Process
- Assessment with voice recording
- Live skills testing
- Behavioral interview
Job Type: Full-time
Pay: ₹350.00 - ₹500.00 per hour
Expected hours: 40 – 60 per week
Benefits:
Application Question(s):
- Do you have hands-on experience in US insurance verification? (Yes / No)
- Have you independently handled eligibility & benefits verification? (Yes / No)
- Do you have experience specifically calling US payers to verify eligibility and benefits? (Yes / No)
- List the US insurance payers have you worked with? (e.g., Aetna, BCBS, UHC, Cigna)
(Please specify)
Work Location: Remote
