We are seeking a detail-oriented Medical Billing Specialist with proven experience in medical billing and exposure to RCM and A/R processes. The ideal candidate will demonstrate proficiency in claim denial management, collections, and working within virtual office tools and EHR systems. Strong communication skills, both written and verbal in English, are essential, along with excellent problem-solving abilities and a patient-centric approach to handling sensitive information under HIPAA regulations.
Key competencies include: clinical workflow understanding, accurate data entry, billing software proficiency, and the ability to work with minimal supervision in a remote, time-zone-aware environment. A high school diploma or equivalent is required, with additional certifications or training in medical billing or coding (e.g., CPC, CPT/HCPCS) viewed favorably. Willingness to operate within US time zones (PST, EST, CST) to align with client schedules.
Company: Virtual Staffing Careers is a dynamic staffing partner dedicated to delivering exceptional virtual assistant solutions. Our team focuses on enabling healthcare practices to optimize their revenue and administrative efficiency through robust billing services. In this role, you will be part of our Healthcare Operations cohort, driving accurate end-to-end billing processes, maximizing revenue, and ensuring compliance across the revenue cycle. You will collaborate with practice managers, payers, and internal teams to maintain smooth financial operations and superior client satisfaction.
Project/Department: This position sits within the Medical Billing & Revenue Cycle Management (RCM) department. You will contribute to the end-to-end billing lifecycle, support denial management initiatives, and help scale our outsourced medical billing services for multiple healthcare clients across diverse specialties.
- End-to-End Revenue Cycle Management (RCM): Manage the complete billing lifecycle from claims submission to final reimbursement, ensuring accuracy, timeliness, and compliance across all steps.
- Accounts Receivable (A/R) Collections: Monitor, follow up, and resolve outstanding claims to optimize cash flow and reduce aging.
- Claims Denial Investigation and Resolution: Identify root causes of denials, implement corrective actions, and re-submit corrected claims to maximize reimbursement.
- Claims Resubmission and Corrections: Handle backend resubmission tasks, verify data integrity, and apply required adjustments to minimize delays.
- Documentation and Compliance: Maintain HIPAA-compliant documentation, ensure accurate coding and billing information, and support audit processes.
- Communication and Collaboration: Coordinate with healthcare providers, payers, and internal teams to resolve issues and support service delivery.
- Quality Assurance: Review and audit claims for accuracy, coding consistency, and regulatory compliance prior to submission.
Preferred candidates may have: experience with healthcare payer portals, familiarity with EHR systems (such as Practice Management and Billing modules), and a track record of optimizing revenue cycles for multiple clients. Strong analytical skills, attention to detail, and the ability to communicate complex billing issues clearly to non-technical stakeholders are highly valued. Experience in virtual team environments and ability to adapt to evolving regulatory requirements is advantageous.
