Billing Specialist

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Job Title: Healthcare Virtual Assistant – Finance, Billing & Credentialing
About The Company
Our client is a United States-based outpatient psychiatric and behavioral health practice.
Job Description
You will support the financial and administrative operations of a United States-based health practice. You will oversee insurance checks, medical billing, managing money flow, provider credentialing, and medical records.
You will work independently to manage multiple tasks, follow up on outstanding issues, and keep accurate records.
Responsibilities Of The Role
Verify patient insurance eligibility, benefits, coverage, copays, deductibles, and provider network participation before appointments.
Manage medical billing processes, including claim submissions, accounts receivable, payment reconciliation, and follow-up on denied, rejected, or unpaid claims.
Review explanation of benefits documents, investigate billing discrepancies, and coordinate approved refunds and billing adjustments.
Manage provider and group credentialing, including payer enrollment applications, recredentialing, and follow-ups with insurance companies.
Maintain accurate credentialing records and track application statuses, deadlines, and provider network participation.
Handle patient financial administration, including self-pay rates, sliding-scale applications, financial assistance, and billing inquiries.
Support provider financial administration by reviewing service logs, invoices, collections, and payment records for accuracy.
Manage financial and billing workflows within electronic health record systems.
Process medical records requests, verify patient authorizations, and securely transmit records to approved recipients.
Manage payer portals and third-party platforms, investigating account, billing, enrollment, and payment discrepancies.
Prepare daily financial updates, monitor outstanding tasks, and report unresolved issues to the Director of Operations.
Maintain organized documentation, ensure timely follow-ups, and comply with privacy and confidentiality requirements.
Required Experience And Qualifications
Previous experience in United States healthcare administration, medical billing, or revenue cycle management.
Strong knowledge of United States health insurance, including eligibility verification, claims processing, explanation of benefits, denials, and payment reconciliation.
Experience with provider credentialing and insurance payer enrollment.
Familiarity with electronic health record or practice management systems.
Knowledge of healthcare privacy regulations and patient confidentiality requirements.
Preferred Skills
Experience with AthenaOne.
Previous experience supporting a United States psychiatric or behavioral health practice.
Familiarity with Medicare, Medicaid, and commercial insurance payers.
Experience with CAQH, PECOS, and insurance payer portals.
Knowledge of behavioral health insurance requirements, telehealth billing, and insurance carve-outs.
Experience with medical records management and provider credentialing for group practices.
Personality
Strong organizational, communication, and problem-solving skills.
Ability to manage multiple administrative workflows independently and follow tasks through completion.
Software & Tools
Proficiency with spreadsheets, task trackers, and Microsoft Teams.
Schedule
Remote / Virtual
Salary And Benefits
Payment in USD or Local Currency according to candidate's preference.
Full-time remote opportunity.

Skills
Documentation

Work arrangement
Yes