[Hiring] Revenue Cycle Support - Virtual Assistant @Rockstar

Role 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
• 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.

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

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.