P-CPT-0017 Admin/Business Support (Medical Billing) - For Pooling Purposes

We are continuously building our talent pool for experienced Medical Billing Specialists, Medical Billing Virtual Assistants, Revenue Cycle Specialists, and Insurance Claims Professionals to support healthcare providers, medical practices, clinics, hospitals, behavioral health organizations, and healthcare management companies.

Unlike general Medical or Telehealth Virtual Assistant roles, this position is specifically focused on medical billing, coding support, insurance claims management, accounts receivable, payment reconciliation, and revenue cycle operations. The ideal candidate possesses strong knowledge of healthcare billing processes, insurance guidelines, reimbursement procedures, and regulatory compliance requirements.

Successful applicants should be highly analytical, detail-oriented, HIPAA-compliant, and experienced in managing the financial side of healthcare operations while maintaining accuracy, efficiency, and compliance.

Experience with one or more of the following is highly preferred:

We welcome:

• Experienced Medical Billing Specialists and Revenue Cycle Professionals
• Certified Medical Coders and Billing Specialists
• Healthcare Virtual Assistants specializing in billing and claims management
• Candidates seeking full-time or part-time opportunities
• Applicants interested in voice or non-voice roles
• Professionals available across different schedules and time zones

• Prepare, review, and submit accurate insurance claims to government and commercial payers.
  
• Ensure claims are submitted within required deadlines and according to payer-specific guidelines.
  
• Monitor claim status and proactively resolve rejected, denied, or delayed claims.
  
• Conduct claims follow-up to maximize reimbursements and reduce outstanding balances.
  
• Review explanations of benefits (EOBs), remittance advice, and payer correspondence.
  
• Process claim corrections, appeals, reconsiderations, and resubmissions as required.

• Manage accounts receivable (A/R) and track outstanding payments.
  
• Follow up on unpaid, underpaid, or denied claims.
  
• Analyze reimbursement trends and identify billing issues impacting revenue.
  
• Support end-to-end revenue cycle processes to improve collections and cash flow.
  
• Reconcile patient accounts, payments, adjustments, and billing records.
  
• Assist in reducing claim denial rates and improving reimbursement accuracy.

• Verify patient insurance coverage, benefits, authorizations, and eligibility.
  
• Confirm co-pays, deductibles, and patient financial responsibilities.
  
• Communicate with insurance companies regarding coverage questions and claim resolutions.
  
• Maintain accurate insurance information within billing and EHR systems.

• Review documentation to ensure accurate assignment of diagnosis and procedure codes.
  
• Support billing processes using ICD-10, CPT, and HCPCS coding standards.
  
• Identify coding discrepancies that may impact reimbursement.
  
• Collaborate with providers and coders to improve billing accuracy and compliance.

• Maintain accurate patient billing records and financial documentation.
  
• Generate billing, collections, and reimbursement reports.
  
• Audit billing information to ensure completeness and accuracy.
  
• Investigate and resolve billing discrepancies and payment variances.
  
• Assist with month-end reporting and financial reconciliation activities.

• Maintain strict compliance with HIPAA regulations and healthcare privacy standards.
  
• Protect Protected Health Information (PHI) and confidential financial records.
  
• Stay current on payer requirements, CMS guidelines, billing regulations, and industry best practices.
  
• Ensure billing processes adhere to healthcare compliance and regulatory standards.

• Strong knowledge of medical billing procedures and healthcare reimbursement processes.
  
• Working knowledge of ICD-10, CPT, and HCPCS coding systems.
  
• Experience managing insurance claims, denials, appeals, and collections.
  
• Understanding of Medicare, Medicaid, commercial insurance, and payer requirements.
  
• Strong attention to detail and commitment to accuracy.
  
• Excellent analytical, problem-solving, and troubleshooting abilities.
  
• Strong organizational and time-management skills.
  
• Excellent written and verbal communication skills.
  
• Ability to work independently and efficiently in a remote environment.
  
• Proficiency in medical billing software, EHR/EMR systems, and Microsoft Excel.
  
• Ability to manage multiple priorities while meeting performance and turnaround targets.
  
• High degree of professionalism, confidentiality, and integrity.
  
• Comfortable working with multiple applications simultaneously; dual-screen setup strongly preferred.