Medical Biller - Virtual Assistant

This is a remote position.

Virtual Rockstar is hiring a Medical Billing Virtual Assistant on behalf of a US-based pediatric therapy practice.

This role is critical to maintaining clean claim flow, accurate billing, and strong client support. The ideal candidate has hands-on medical billing experience, is highly detail-oriented, and is comfortable working with volume-driven workflows while maintaining accuracy and compliance.

This position supports both front-line billing execution and advanced billing functions, depending on experience level.

About Our Client

Our client is a pediatric therapy practice that provides speech and occupational therapy services. Their work centers on child-centered, neuro-affirming care and strong family partnership. They value accuracy, integrity, and clear communication and operate with a highly organized, system-driven workflow.

The team emphasizes quality over volume and integrates virtual team members as full contributors through structured systems, documentation, and regular communication.

Responsibilities

Billing Operations (Primary Focus)

• Generate, send, and follow up on client invoices accurately and on schedule
  

• Perform claim validation (demographics, CPT codes, modifiers, authorizations, and payer rules)
  

• Submit primary and secondary insurance claims
  

• Conduct claim follow-ups, including:
  

  • Status checks
    

  • Simple corrections (missing information, minor data errors, modifier updates)
    

  • Claim resubmissions when appropriate
    

• Review processed claims to ensure correct payments and proper application of deductibles and coinsurance
  

• Identify and resolve basic billing discrepancies
  

  
  

Client Billing Support

• Respond to billing inquiries via email and phone
  

• Explain statements, balances, and insurance-related questions clearly and professionally
  

• Escalate complex billing issues to senior billing staff as needed
  

  
  

Advanced Billing & Revenue Cycle Support (Experience-Dependent)

• Submit and track prior authorizations
  

• Post payments and reconcile accounts
  

• Process physical mail, faxes, and billing-related correspondence
  

• Review and appeal denied claims
  

• Monitor payer policies and identify reimbursement trends
  

• Prepare billing reports (weekly, monthly, or quarterly)
  

• Assist with audits, ERA/EFT enrollments, and compliance reviews
  

  
  

Administrative & Documentation Support

• Maintain accurate billing records and documentation
  

• Perform data pulls and reporting as requested
  

• Follow established SOPs consistently
  

• Escalate issues appropriately rather than guessing
  

Tools & Systems Used

• PracticeQ / IntakeQ
  

• Trizetto Clearinghouse
  

• Payer portals (OneHealthPort, Availity, Oregon Medicaid portal)
  

• Microsoft Excel (intermediate to advanced required)
  

• Outlook, Teams, Slack, Notion
  

Requirements


Experience

• Billing Associate: Minimum 3 years of medical billing experience
  

• Billing Specialist: Minimum 5 years of advanced medical billing or revenue cycle experience
  

• Experience in speech and occupational therapy billing is strongly preferred
  

• Strong understanding of CPT codes, NCCI edits, EOBs, deductibles, coinsurance, and payer rules
  

  
  

Skills & Traits

• Excellent attention to detail and accuracy
  

• Strong written and verbal English communication skills
  

• Process-driven and comfortable with repetitive, volume-based workflows
  

• Confident escalating issues appropriately
  

• Reliable, organized, and consistent
  

  
  

Technical & Work Setup (Non-Negotiable)

• Laptop (no desktop-only setups) with updated OS and antivirus
  

• Webcam and headset with microphone
  

• Secure, private workspace
  

• Power backup (UPS or portable power station)
  

• Dual internet setup (primary broadband + mobile hotspot backup)
  

• Ability to reconnect within 10 minutes of internet disruption
  

Benefits

Competitive salary commensurate with experience

Opportunities for professional development and growth

Work in a dynamic and supportive team environment

Make a meaningful impact by helping to build and strengthen families across the globe

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