Medical Billing Specialist - Virtual Assistant
TypeFull-time job
LocationUnited States
Posted2 hours ago
This is a remote position.
Rockstar is seeking a dedicated and detail-oriented Medical Billing Specialist to join our partner’s growing healthcare practice. This is a full-time position focused on billing, claim management, insurance verification, and client communication. The ideal candidate will have strong billing experience, thrive in a fast-paced environment, and ensure accuracy and efficiency in financial processes.
If you're proactive, organized, and have a strong understanding of medical billing and insurance processes, this is a great opportunity to join a collaborative, fast-paced team making a real impact.
About the Clinic's Culture
Mission-Driven: Focused on helping children and families thrive.
Solution-Oriented: Encourages independent problem-solving and continuous improvement.
Team-Centered: Every member is essential to the success of the clinic.
Growth-Focused: Mistakes are viewed as opportunities to learn and get better.
Efficiency-Minded: The team is always seeking ways to work smarter.
What You Will Actually Do
Benefits & Reimbursement
Track and chase EOBs from BCBS families
Distinguish clearly between coded claims and self-pay receipts, and understand why the distinction matters legally and financially
Navigate in-network billing for three additional insurances, two of which routinely require issue-sorting and investigation
Claims & Revenue Cycle
Review charges for accuracy and completeness before submission; catch coding, modifier, unit, and eligibility errors upstream rather than after denial
Submit, scrub, and track claims through to payment
Post ERAs and reconcile payments; identify underpayments against expected reimbursement rather than simply posting what arrived
Build and pursue appeals, first level and beyond, with supporting documentation
Accounts & Families
Manage patient balances, payment plans, and collections communication with professionalism and empathy, these are families with children in therapy, tone matters
Resolve disputes and discrepancies independently, escalating only what genuinely requires the Revenue Cycle Manager or owner
Maintain documentation of every payer conversation: date, representative, reference number, outcome
Work with the on-site admin team to ensure account issues are resolved when patients arrive for appointments, and provide education to staff and families as needed
Software Used
Practice Pro
ClaimMD
Availity
IntakeQ
Microsoft Office 365
Zoom (phone, chat, video)
Requirements
Required Experience — Non-Negotiable
Minimum 3 years of US medical billing experience, with at least 1 year of substantive out-of-network work. Candidates whose experience is exclusively in-network claim submission will not be a fit
Demonstrated ability to manage a caseload of 200+ active patients with recurring visit schedules
Working command of eligibility portals and clearinghouses (Availity, ClaimMD, or equivalent), and EMR/practice management systems
Fluent, professional written and spoken English, you will speak directly with US payers and US families by phone
Comfortable working US Eastern business hours
Strong Excel/Google Sheets skills, able to build a reconciliation or aging report, not just read one
Strongly Preferred
Pediatric therapy billing (OT, PT, SLP), therapy CPT ranges, timed vs. untimed codes, the 8-minute rule, treatment vs. evaluation codes
Experience with authorization-driven care and unit tracking
Managed care organization (MCO) and Medicaid-secondary experience
Prior experience in a small practice where you were the one who figured it out
The Kind of Person This Works For
Independent. You research the answer before you ask. You bring recommendations, not open questions
Persistent. You will call a payer three times about the same claim and stay pleasant on the third call
Organized under load. Dozens of moving accounts, none of which can be dropped
Direct. You tell us when something is wrong or when you are behind, early
Discreet. Full HIPAA compliance is assumed, not celebrated
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
Rockstar is seeking a dedicated and detail-oriented Medical Billing Specialist to join our partner’s growing healthcare practice. This is a full-time position focused on billing, claim management, insurance verification, and client communication. The ideal candidate will have strong billing experience, thrive in a fast-paced environment, and ensure accuracy and efficiency in financial processes.
If you're proactive, organized, and have a strong understanding of medical billing and insurance processes, this is a great opportunity to join a collaborative, fast-paced team making a real impact.
About the Clinic's Culture
Mission-Driven: Focused on helping children and families thrive.
Solution-Oriented: Encourages independent problem-solving and continuous improvement.
Team-Centered: Every member is essential to the success of the clinic.
Growth-Focused: Mistakes are viewed as opportunities to learn and get better.
Efficiency-Minded: The team is always seeking ways to work smarter.
What You Will Actually Do
Benefits & Reimbursement
Track and chase EOBs from BCBS families
Distinguish clearly between coded claims and self-pay receipts, and understand why the distinction matters legally and financially
Navigate in-network billing for three additional insurances, two of which routinely require issue-sorting and investigation
Claims & Revenue Cycle
Review charges for accuracy and completeness before submission; catch coding, modifier, unit, and eligibility errors upstream rather than after denial
Submit, scrub, and track claims through to payment
Post ERAs and reconcile payments; identify underpayments against expected reimbursement rather than simply posting what arrived
Build and pursue appeals, first level and beyond, with supporting documentation
Accounts & Families
Manage patient balances, payment plans, and collections communication with professionalism and empathy, these are families with children in therapy, tone matters
Resolve disputes and discrepancies independently, escalating only what genuinely requires the Revenue Cycle Manager or owner
Maintain documentation of every payer conversation: date, representative, reference number, outcome
Work with the on-site admin team to ensure account issues are resolved when patients arrive for appointments, and provide education to staff and families as needed
Software Used
Practice Pro
ClaimMD
Availity
IntakeQ
Microsoft Office 365
Zoom (phone, chat, video)
Requirements
Required Experience — Non-Negotiable
Minimum 3 years of US medical billing experience, with at least 1 year of substantive out-of-network work. Candidates whose experience is exclusively in-network claim submission will not be a fit
Demonstrated ability to manage a caseload of 200+ active patients with recurring visit schedules
Working command of eligibility portals and clearinghouses (Availity, ClaimMD, or equivalent), and EMR/practice management systems
Fluent, professional written and spoken English, you will speak directly with US payers and US families by phone
Comfortable working US Eastern business hours
Strong Excel/Google Sheets skills, able to build a reconciliation or aging report, not just read one
Strongly Preferred
Pediatric therapy billing (OT, PT, SLP), therapy CPT ranges, timed vs. untimed codes, the 8-minute rule, treatment vs. evaluation codes
Experience with authorization-driven care and unit tracking
Managed care organization (MCO) and Medicaid-secondary experience
Prior experience in a small practice where you were the one who figured it out
The Kind of Person This Works For
Independent. You research the answer before you ask. You bring recommendations, not open questions
Persistent. You will call a payer three times about the same claim and stay pleasant on the third call
Organized under load. Dozens of moving accounts, none of which can be dropped
Direct. You tell us when something is wrong or when you are behind, early
Discreet. Full HIPAA compliance is assumed, not celebrated
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
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