This is a remote position.
Rockstaris hiring a full-timePrior Authorizations & Clinical Intake Virtual Assistanton behalf of our client, a home medical equipment and supply provider.
This role specializes in prior authorizations, clinical intake, and medical records processing. The ideal candidate has experience reviewing patient documentation and is knowledgeable about identifying required clinical records, checking documentation completeness, and ensuring all necessary information is available before an order or authorization can be processed.
About the Client
Our client is a growing home medical equipment (DME) provider, delivering products like home oxygen, CPAP/BIPAP equipment, wheelchairs, hospital beds, and other durable medical equipment directly to patients' homes. As an accredited Medicare provider and licensed Medicaid services provider that also works with private insurance, they help patients get the equipment they need without the runaround.
Their team works closely with doctors' offices to secure proper orders and handle the insurance paperwork, so most patients receive their equipment with no upfront cost. What sets them apart is genuine heart: patients aren't treated like transactions, they're treated like family, and that family keeps growing.
Key Responsibilities
Clinical Documentation & Chart Review
- Review patient charts and medical records for completeness
- Handle clinical intake and verify required documentation
- Identify missing or incomplete clinical information
- Ensure CMNs, clinical notes, and supporting documents meet payer requirements
- Maintain accurate and organized patient records
Prior Authorizations & Insurance
- Verify patient insurance eligibility and coverage prior to order fulfillment
- Submit prior authorization requests to insurance payers and track them through to approval
- Follow up proactively on pending or delayed authorizations to avoid delays in patient care
- Stay current on payer-specific documentation requirements, including Medicare and Medicaid guidelines for durable medical equipment
Communication & Coordination
- Communicate with physician offices to request missing signatures, notes, or supporting documentation
- Coordinate with the sales and delivery team to ensure orders are ready to move forward once documentation is complete
- Escalate documentation or authorization issues that require physician or payer intervention
Administrative Support
- Enter and update patient and order information accurately within Brightree
Tools & Systems
- Brightree
- Parachute Health
- Insurance Portals
Requirements
Prior experience in DME (durable medical equipment), with strong hands-on skills in Medicaid and commercial insurance authorization processing Brightree and Parachute experience preferred Experience reviewing patient documentation and clinical records for completeness Knowledge of prior authorization requirements and payer documentation standards, particularly Medicaid Strong attention to detail with the ability to identify missing or incomplete information Highly organized with strong recordkeeping habits Comfortable working independently within a remote healthcare setting
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
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