Remote Medical Virtual Biller (RCM, Authorizations & Verification Specialist)
# Remote Medical Virtual Biller (RCM, Authorizations & Verification Specialist) **Staffing for Doctors** · Philippines · `Remote` · `Full Time` 💼 **Уровень роли:** `Mid-level` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Medical-Biller]` `[Medical-Billing-Specialist]` `[Revenue-Cycle-Management-Specialist]` `[Healthcare-Billing-Specialist]` `[Medical-Virtual-Assistant]` `[Remote-Medical-Biller]` `[Remote-Medical-Billing-Specialist]` `[Medical-Billing-Virtual-Assistant]` `[Remote-Billing-Coordinator]` `[Remote-Billing-Specialist]` `[Remote-Medical-Billing]` --- ### About the Role We are seeking an experienced, detail-oriented Medical Virtual Biller to join our remote operations team. In this role, you will be responsible for managing end-to-end Revenue Cycle Management (RCM) tasks, with a heavy emphasis on patient benefit verification, tracking maximum benefits, and coordinating complex payer documentation. If you have a strong background in U.S. healthcare billing, possess deep familiarity with insurance verification protocols, and excel at securing prior authorizations and clinical letters, we want to hear from you! Requirements - Benefit Verification & Eligibility: Accurately verify patient insurance coverage, active policy status, copays, deductibles, coinsurance, and maximum benefit limits prior to service delivery. - Prior Authorizations & LOAs: Proactively initiate, track, and follow up on Letters of Authorization (LOAs) and pre-authorizations with insurance payers to ensure timely approvals and prevent claim denials. - Payer Correspondence & LOIs: Draft, compile, and submit Letters of Intent / Medical Necessity (LOIs) alongside clinical documentation to support appeals, gap-in-network exceptions, or specialized treatments. - Full-Cycle RCM Support: Handle tasks across the billing lifecycle, including charge entry, claim submission, payment posting, and handling accounts receivable (A/R) follow-ups or denials. - Documentation & Compliance: Maintain meticulous records of payer interactions, authorization numbers, and patient financial clearances within our Electronic Health Record (EHR) / Practice Management systems while maintaining strict HIPAA compliance. Qualifications & Requirements - Experience: Minimum of 2–3+ years of hands-on experience in U.S. Medical Billing, Medical Virtual Assisting, or RCM roles. - Core Knowledge: Proven expertise in handling insurance verification, calculating/tracking maximum benefits, and securing LOAs and LOIs. - Technical Proficiency: Familiarity with major U.S. EHR/PM platforms (e.g., Epic, Athenahealth, eClinicalWorks, Kareo, or similar systems) and clearinghouse portals. - Communication Skills: Excellent written and spoken English, with the confidence to communicate professionally with U.S.-based insurance providers, patients, and internal team members. - Home Setup: A reliable high-speed internet connection (minimum 25+ Mbps) and a quiet, secure, HIPAA-compliant home office workspace. Originally posted on Himalayas
- Medical-Biller
- Medical-Billing-Specialist
- Revenue-Cycle-Management-Specialist
- Healthcare-Billing-Specialist
- Medical-Virtual-Assistant
- Remote-Medical-Biller
- Remote-Medical-Billing-Specialist
- Medical-Billing-Virtual-Assistant
- Remote-Billing-Coordinator
- Remote-Billing-Specialist
- Remote-Medical-Billing
Наблюдалась 2026-10-12, впервые 2026-10-12, источник — Himalayas (JSON API).