Responsibilities may include:
Review and process medical claims for submission to insurance companies or government programs
Verify patient insurance coverage and eligibility prior to billing
Assign appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures
Submit claims accurately and in a timely manner to ensure proper reimbursement
Follow up on unpaid or denied claims and resolve billing discrepancies
Maintain accurate patient and billing records in electronic health record (EHR) or practice management systems
Communicate with patients, insurance companies, and healthcare providers regarding billing inquiries or issues
Prepare and generate billing reports and summaries for management review
Ensure compliance with HIPAA and other regulatory requirements related to medical billing
Collaborate with medical staff to clarify procedures, documentation, or coding issues
Monitor accounts receivable and assist in payment posting and reconciliation
Continuously stay updated on changes in medical billing codes, insurance policies, and regulations
Qualifications:
At least 6 months of experience as Virtual Medical Biller
A degree or some units in any allied medical course (preferred but not required)
Familiar with EHR/EMR tools in the US (Like Athena, ECW, etc.)
2+ years bilingual (English & Spanish fluency required)
Familiar with US Healthcare private insurance providers
Excellent communication skills, both verbal and written
Tech Requirements:
Reliable high-speed internet, updated computer/laptop, webcam, and headset
Familiarity with tools like Google Workspace, Zoom, and scheduling platforms
Benefits:
Performance-based annual appraisals
Monthly medical allowance (after 6 months)
Annual bonuses
Bi-weekly pay via Wise