Billing & Compliance Support - Virtual Assistant

This is a remote position.
Rockstaris hiring a full-time Billing & Compliance Support Virtual Assistant on behalf of a pediatric therapy practice offering PT, OT, and SLP services.
Billing is the biggest pain point this role exists to solve. The practice's EMR automates a good amount of billing, but claims that don't resolve automatically, denials, and follow-ups are falling through the cracks and pulling admin staff away from other work. This VA will work claims, call insurance companies directly, and keep the billing cycle moving without things backing up.
Beyond billing, this role owns compliance tracking that's currently slipping: keeping plans of care, prescriptions, and referrals current so nothing expires unnoticed, and pulling business metrics out of the EMR into the practice's reporting system on a consistent weekly and monthly basis. This is a proactive, detail-first role, not one where someone waits to be told what to do. The right person builds the daily list of what needs attention before being asked.
About the Client
This pediatric therapy practice is built around the mission of strengthening communities through expert, collaborative therapy, helping every family get the support they need to thrive and belong. Their core values center on treating every child with the compassion of family, integrating joy and play into learning, staying curious to understand each child's unique strengths, and holding to ethical, evidence-based care.
The practice is growing, both in patient volume and provider headcount, and is working to build out more consistent systems and processes to support that growth without burning out its admin team.
Key Responsibilities
Billing & Claims (Primary Focus)

Work claims and follow up on unpaid or denied claims

Call insurance companies directly to resolve billing issues

Review and appeal denied claims as needed

Resolve billing discrepancies and ensure compliance with coding and billing regulations

Generate billing reports for management

Compliance & Caseload Tracking

Monitor the EMR's expiring items dashboard to keep prescriptions and referrals current

Track plans of care, prescription, and referral due dates so nothing lapses unnoticed

Help therapists stay on top of re-evaluations

Follow up to ensure referrals return after being sent out

Reporting & Data Support

Pull reports out of the EMR

Enter clinician statistics and business metrics into the practice's reporting/KPI system on a weekly and monthly basis

Support point-of-care system tasks that therapists don't have time to manage themselves

Tools & Systems

Ocean Friends (EMR)

PedsOMS (KPI/reporting system)

Google Workspace

QuickBooks (light exposure, not primary)

Requirements

Prior experience in medical billing or insurance claims follow-up, healthcare setting preferred

Comfortable making outbound calls to insurance companies to resolve claim issues

Highly organized and proactive, able to build and manage a daily task list independently

Comfortable working within an EMR and pulling/entering data accurately

Reports to and takes direction from the practice's Admin Director; strong written communication for email-based coordination

Non-Negotiables

Strong attention to detail, tracking plans of care, prescriptions, and referral due dates cannot slip

Proactive and self-directed, does not wait to be told what to do

Reliable and consistent, this role is meant to be a stable, dedicated presence the practice can count on

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

Originally posted on Himalayas