Medical Billing Virtual Assistant
The ideal candidate is proactive, analytical, and committed to maintaining accuracy while maximizing reimbursement opportunities.
Key Responsibilities
Claims Management
Submit, review, and correct medical claims on a daily basis, including services such as echocardiograms and sleep studies.
Ensure claims comply with CPT, ICD-10, HCPCS coding standards, and applicable modifiers.
Monitor claim status and promptly resolve denials, rejections, and payment discrepancies within established timelines.
Maintain accurate records of claim submissions and follow-up activities.
Revenue Cycle Optimization
Analyze denial patterns and reimbursement trends.
Identify root causes of claim issues and recommend corrective actions to improve collections and revenue performance.
Support efforts to maximize reimbursement and reduce accounts receivable aging.
Payer & Patient Communication
Stay informed about payer policy updates and portal changes, including BCBS, Novitasphere, and other insurance platforms.
Communicate with insurance representatives, including United Healthcare, Optum, and other payers, to resolve billing and claim-related issues.
Prepare and distribute accurate patient statements and respond to billing inquiries professionally.
Insurance & Eligibility Support
Verify patient insurance eligibility and benefits.
Process insurance updates and maintain accurate patient insurance records.
Submit claims through clearinghouses and ensure successful transmission and acceptance.
Perform insurance-related data entry with a high degree of accuracy.
Reporting & Documentation
Prepare weekly billing status reports and accounts receivable summaries.
Maintain detailed documentation of claim activity, payer communications, and resolution outcomes.
Ensure compliance with internal procedures and healthcare billing regulations.
Schedule
Employment Type: Part-TimeHours per Week: 20 hours
Work Schedule: Monday–Friday
Working Hours: 9:00 AM – 1:00 PM EST
Availability: Must be reachable via WhatsApp, email, and Slack during working hours
Tools & Systems
The successful candidate will work with:
Tebra Medical Billing Software
BCBS Portal
Novitasphere Portal
RingCentral Phone Software
Qualifications
Required
Previous experience in medical billing, claims processing, or insurance administration.
Strong working knowledge of CPT, ICD-10, and HCPCS coding systems.
Experience managing claim submissions, denials, and payer follow-up.
Excellent written and verbal communication skills.
Strong attention to detail and ability to maintain accuracy in a fast-paced environment.
Ability to prioritize tasks, meet deadlines, and work independently.
Reliable internet connection and dedicated workspace.
Preferred
Experience using Tebra or similar medical billing platforms.
Familiarity with Medicare, commercial insurance plans, and payer portals.
Understanding of revenue cycle management and accounts receivable processes.