Virtual Medical Biller / Accounts Receivable (A/R) Specialist

22 hours, 25 minutes ago
Full-time
Junior
Operations
Staffing For Doctors

Staffing For Doctors

Staffing For Doctors provides virtual medical staffing solutions for healthcare practices, connecting them with top HIPAA-compliant candidates to enhance operational efficiency, reduce overhead costs, and improve patient care through dedicated virtual ...

Health Care Providers & Services
Founded 2025

Description

  • Manage the complete medical billing lifecycle from clean claim submission through final payment allocation.
  • Review aging reports, prioritize outstanding balances, and follow up with insurance carriers on unpaid, underpaid, or delayed claims.
  • Maintain detailed documentation of collection efforts, payer communications, and billing records.
  • Investigate denied or rejected claims, identify root causes, correct errors, and resubmit claims promptly.
  • Prepare, document, submit, and track clinical and administrative appeals through final resolution.
  • Review CPT, ICD-10, and modifier usage to ensure billing accuracy.
  • Ensure claims comply with payer-specific guidelines and medical necessity requirements.
  • Work alongside an existing outsourced team to improve revenue cycle performance and reduce A/R.
  • Identify recurring denial trends and support workflow improvements to strengthen billing outcomes.

Requirements

  • 2–3 years of specialized medical billing experience in Ophthalmology or Retina practices.
  • Ophthalmology surgery billing experience is a major asset.
  • Practical working knowledge of Medicare and Medi-Cal billing guidelines, reimbursement structures, and compliance standards.
  • Hands-on proficiency with DrChrono EMR is strongly preferred.
  • Strong technical competency with digital clearinghouses and billing analytics tools.
  • Flawless verbal and written English communication skills.
  • Ability to negotiate professionally with insurance adjusters and collaborate effectively with internal staff.
  • Full-time availability of 40 hours per week.
  • Ability to work independently from a silent, distraction-free virtual home office.

Interested in this position?

Apply directly on the company website

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