Job description
This is a remote position.
Rockstaris hiring a full-time Medical Billing Specialist - Virtual Assistanton behalf of an outpatient pediatric therapy practice.
This role provides support across billing, insurance, claims, collections, and prior authorization processes. While the role covers the full range of billing functions, someone with strong claims experience specifically is ideal. The VA will be responsible for completing assigned billing and authorization tasks accurately and efficiently, maintaining detailed records, communicating with insurance companies and other parties as needed, and helping ensure claims and authorizations are processed in a timely manner. The ideal candidate is highly organized, detail-oriented, comfortable working independently in a remote environment, and willing to learn and adapt as processes and systems evolve.
About the Client
This is a fast-paced, growth-driven pediatric occupational, speech, and physical therapy practice serving multiple locations. Their mission is to enhance the lives of the children they serve and the families who love them by providing a fun, nurturing, and supportive therapeutic environment.
The practice has expanded significantly in recent years and continues to grow, with future goals centered on expanding the team, developing specialty skills, and becoming a leading, sought-after pediatric clinic for both clients and employees.
Key Responsibilities
Insurance & Prior Authorization
Verify patient insurance eligibility and benefits
Submit initial and concurrent prior authorizations to Medicaid, Medicaid Managed Care Organizations (MCOs), Medicaid Tailored Health Plans, Tricare, and commercial insurance payers as required
Monitor authorization timelines and follow up as needed to help prevent gaps in coverage
Maintain accurate authorization records and client information in the EHR and payer online systems
Submit additional medical records as requested for claims, appeals, pre-payment reviews, post-payment reviews, or other payer requests
Billing & Claims
Prepare and submit insurance claims accurately and within required timelines
Research denied claims, rejected claims, and partial payments, and assist with appropriate follow-up
Review payer correspondence and EOBs for accuracy and appropriate account processing
Input and/or download manual insurance checks and accurately apply payments to patient accounts
Review payment postings to ensure accurate allocation of payments, adjustments, and patient responsibility
Assist with identifying and resolving billing discrepancies
Maintain accurate and complete billing documentation in the company EHR and payer online systems
Administrative & General Support
Follow established billing workflows and payer-specific requirements
Communicate professionally with insurance companies, patients, physician offices, and internal staff
Coordinate and follow up with clinical and office staff regarding billing, authorization, and documentation needs
Accurately document all relevant communication, follow-up, and account activity
Complete assigned tasks within established timelines
Assist with other billing, authorization, insurance, and administrative tasks as assigned after appropriate training
Tools & Systems
Google Workspace
Microsoft Office
Company EHR and payer online systems
Zoom (for training and meetings)
Requirements
Strong claims experience is highly preferred
Familiarity with Medicaid, Medicaid Managed Care, and Tailored Health Organizations payers
Experience with Occupational, Speech, or Physical Therapy authorizations is a plus
Proficient in Google Workspace, Microsoft Office, and general computer literacy
Strong communicator across email, chat, phone, and Zoom
Adaptable, detail-oriented, and a reliable problem solver
Comfortable in a fast-paced environment and genuinely enjoys working with the pediatric population
Non-Negotiables
Organized individual with great attention to detail
Initiative and follow-through
Great communication skills (with internal staff, client families, and physician offices)
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
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.