Medical Billing & AR Specialist (US-Based Practice)

We are a small, dedicated US medical practice looking for a highly organized Medical Billing Virtual Assistant. Your primary goal is to ensure our revenue cycle is seamless—from the moment a claim is generated to the final payment posting. You will be the "guardian" of our accounts receivable, ensuring insurance companies pay accurately and on time.

Key Responsibilities

• Claims Transmission: Scrub and submit claims through the clearinghouse once the provider has assigned the codes.
• AR Management: Proactively follow up on all unpaid claims older than 30 days.
• Denial Resolution: Research and resubmit claims denied for non-clinical reasons (eligibility, COB, missing info).
• Payment Posting: Accurately post ERAs and manual EOBs into the EHR; reconcile daily deposits.
• Patient Support: Professional communication with patients regarding balance inquiries and payment plans.
• Eligibility: Perform insurance verification and obtain authorizations before the date of service.

Requirements

• Experience: 2+ years of hands-on experience with US insurance (Medicare, Medicaid, and Commercial payers).
• Technical Literacy: Proficiency in [Insert your EHR, e.g., Trizetto, Availity, Kareo, Athena].
• Language: Fluent written and spoken English for professional calls with insurance adjusters.
• Non-Coding Focus: High accuracy in data entry. While you don't assign codes, you must understand the relationship between a CPT/ICD-10 and a clean claim.
• HIPAA Mastery: Strict adherence to patient privacy and secure data handling.