Medical Billing Exceptions Virtual Assistant
S
Staffing for DoctorsMedical Billing
PhilippinesFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- Fluent English (spoken and written)
- Required Skills
- HIPAA
Requirements
- Prompt EMR / Prompt Plus experience required.
- Hands-on billing experience with AI/automation features (auto-post, eligibility, benefits verification).
- Fluent English (spoken and written).
- Excellent phone and written communication skills.
- Ability to explain billing concepts without jargon.
- Comfortable working exception queues and AI oversight.
- Reliable remote setup (private workspace, stable internet, headset).
- Experience with therapy/outpatient billing (PT/OT/SLP) is strongly preferred.
- Familiarity with Medicare Part B, Medicare Advantage, and Florida commercial payers.
- Familiarity with Availity verification workflows.
Responsibilities
- Work billing buckets daily including In Review, Hold, Denied/Rejected, and Patient Balance queues.
- Review and correct AI/auto-post results for partial denials, missing secondary, and authorization issues.
- Manage unit-based and visit-limit authorizations.
- Resolve failed or flagged eligibility using verification dashboards.
- Post or correct ERAs and reconcile remits when auto-post cannot finish.
- Prepare and send appeals packets while maintaining detailed documentation.
- Communicate with patients regarding balances and benefits in a professional tone.
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