Medical Billing Specialist - Virtual Assistant
R
RockstarHealthcare Administration
United States, US Eastern business hoursFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- Fluent, professional written and spoken English
- Experience
- Minimum 3 years
- Required Skills
- Microsoft ExcelGoogle Sheets
Requirements
- Minimum 3 years of US medical billing experience.
- At least 1 year of substantive out-of-network billing experience.
- Ability to manage a caseload of 200+ active patients with recurring schedules.
- Working command of eligibility portals and clearinghouses like Availity and ClaimMD.
- Experience with EMR and practice management systems.
- Proficiency in Excel and Google Sheets, specifically for building reports.
- Fluent, professional written and spoken English for direct communication with US payers and families.
- Availability to work during US Eastern business hours.
- Strong understanding of HIPAA compliance.
- Experience with pediatric therapy billing (OT, PT, SLP) strongly preferred.
- Familiarity with authorization-driven care, unit tracking, MCO, and Medicaid-secondary experience preferred.
Responsibilities
- Track and follow up on EOBs for BCBS families.
- Submit, scrub, and track claims through to payment.
- Review charges for accuracy, including coding, modifiers, and units, before submission.
- Post ERAs and reconcile payments, identifying underpayments.
- Build and pursue claim appeals with necessary documentation.
- Manage patient balances, payment plans, and collections communication with professionalism.
- Maintain detailed documentation of payer conversations and outcomes.
- Collaborate with the on-site admin team to resolve account issues and provide billing education.
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