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Virtual Medical Biller / Insurance Verification Specialist

7 hours, 12 minutes ago
Philippines
Full-time
Junior
Accountant
Operations
Apply Now
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
View All Jobs 14

Description

  • Pre-verify patient insurance eligibility, deductibles, copays, coinsurance, and coverage details before scheduled visits.
  • Compile and submit clinical documentation for prior authorizations and referrals for pain injections, imaging, and specialized procedures.
  • Track authorization status and identify coverage exclusions or coordination of benefits issues before services are delivered.
  • Review outpatient claims before submission for completeness, correct coding, and proper modifiers.
  • Investigate, correct, and appeal denied or underpaid claims to reduce denial rates and improve reimbursement.
  • Follow up with Medicare, commercial carriers, and Workers' Compensation adjusters on outstanding claims and aging balances.
  • Document coverage limits, authorization numbers, and billing updates accurately in the EMR.
  • Use the Weave phone system to manage inbound and outbound calls and text routing related to patient financial clearances.
  • Maintain reliable, independent productivity during a Monday through Friday, 8:00 AM to 5:00 PM PST schedule.

Requirements

  • Minimum 2 years of dedicated medical billing, insurance verification, or authorization experience.
  • Experience working in a Pain Management, Interventional Pain, Spine, Orthopedic, or Physical Medicine practice.
  • Exceptional written and verbal English communication skills for insurance and patient communication.
  • Direct experience with AdvancedMD is highly preferred.
  • Experience with Prognosis EMR is preferred.
  • Strong familiarity with billing rules for Medicare, commercial carriers, and Workers' Compensation.
  • Demonstrated success reducing claim denials and improving reimbursement performance.
  • Strong analytical and detail-oriented work style with the ability to catch formatting or diagnostic errors before submission.
  • Proactive problem-solving approach to address authorization issues early.
  • Ability to work full-time, remotely, and independently on a standard Monday through Friday schedule.

Interested in this position?

Apply directly on the company website

Apply Now

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