This role is for someone who can live in the weeds: benefits verification, prior auths, portals, appeals, and precise documentation. If you’re calm, organized, and built for high-volume follow-up without dropping details, this one fits.
About Kestra Medical Technologies, Inc.
Kestra is a wearable cardiac medical device company founded in 2014, focused on combining proven device therapies with modern wearable tech to support patient comfort, safety, and better monitoring.
Schedule
- Full-time, remote
- Must be comfortable working CST hours (Monday–Friday)
- Includes on-call and off-hours coverage at times (evenings, weekends, holidays)
What You’ll Do
- Gather and coordinate medical records and intake info needed to secure DME prior authorizations
- Verify insurance eligibility and DME benefits (coverage, deductibles, coinsurance, accumulations, PA requirements) via phone and payer portals
- Initiate, track, and complete prior auth requests, and notify stakeholders of determinations
- Support appeals for prior authorization denials
- After authorization, place DME orders, notify and dispatch patient fitters, and confirm timely arrivals
- Review delivery tickets for accuracy and signatures
- Enter and maintain data in billing software and Salesforce (demographics, provider info, payer info, HCPCS, ICD-10, etc.)
- Communicate consistently with patients, providers, payers, sales reps, vendors, and internal teams
- Explain benefits, out-of-pocket costs, deductibles, and payment arrangements to patients with empathy
- Escalate payer issues when you cannot get clear answers
- Handle incoming calls and route messages appropriately
- Export/import data between systems and create auto-populated forms
- Produce detailed, accurate notes and maintain strict confidentiality (HIPAA/need-to-know)
- Use Adobe Acrobat Pro to edit PDFs (add/remove pages, redact text, templates, metadata, plugins)
- Follow up with patients to confirm satisfaction
What You Need
- High school diploma or GED
- 2+ years of experience with insurance verifications and prior authorization workflows (collecting required docs, submitting, following up)
- Direct experience using payer portals
- Strong accuracy with reference numbers, dates, IDs, spelling, and documentation
- Advanced written/verbal communication and strong reading comprehension
- Strong analytical thinking, multitasking, organization, and deadline management
- Proficient typing and comfort with Word/Outlook, general internet research, beginner Excel, and PDF editing
- Willingness to work in a fast-paced remote environment, with occasional evenings/weekends
Preferred
- Experience with HCPCS and ICD-10 codes
Benefits
- Medical and dental coverage
- 401(k) with match
- Competitive benefits package (plus other offerings)
Compensation
- Salary range: $57,000–$69,000 annually, depending on experience and location
- No visa sponsorship available
One honest heads-up: the “remote” part is real, but this is not a quiet inbox job. It’s constant follow-up, precision logging, and patient-facing conversations where you can’t afford to be sloppy. If that’s your lane, you’ll look like a hero here.
Happy Hunting,
~Two Chicks…