Prior Authorization Specialist

Overview

Medical Biller/ AR Specialist - Virtual Assistant (Remote)

Two remote opportunities described:

• Medical Biller/ Accounts Receivable Specialist at Virtual Rockstar for a growing physical therapy practice serving Kansas, Missouri, and Arizona.
• Medical Biller / Accounts Receivable Specialist at Virtual Rockstar on behalf of a long-standing non-profit educational therapeutic agency based in Kansas City, Missouri.

Permanent, remote position.

Role 1 and Role 2 include full-cycle medical billing, accounts receivable management, and some administrative support tasks. Ideal candidates are detail-oriented, proactive, and communicative with solid knowledge of billing practices, AR processes, and compliance standards.

Role 1:

• Accurately prepare and submit medical claims to insurance companies (electronic and paper).
• Post payments from insurance companies and patients into the EMR system.
• Reconcile patient accounts and identify discrepancies or payment issues.
• Follow up on unpaid, denied, or underpaid claims with insurance companies.
• Review Explanation of Benefits (EOBs) for accuracy and resolve discrepancies.
• Maintain an organized accounts receivable system and generate regular aging reports.
• Work closely with the practice’s administrative team to ensure timely revenue collection.
• Assist with correcting billing errors and resubmitting claims when necessary.

Role 2:

• Medical Billing: Collect and enter patient demographics, insurance, and referral details into EMR (Practice Perfect); verify insurance eligibility and benefits (primary and secondary); obtain prior authorizations as needed; enter charges using CPT, HCPCS, and ICD-10 codes; submit electronic and paper claims; monitor claim batches for acceptance or rejection.
• Payment Posting & Accounts Receivable: Post payments; reconcile with remittance advice; apply contractual adjustments; track aging reports; follow up on unpaid or denied claims; contact payers for claim status inquiries and resubmissions.
• Denial Management & Corrections: Research and resolve denials; correct and resubmit data; file appeals when appropriate and monitor denial trends.
• Patient Billing & Collections: Generate patient statements; respond to inquiries; set up payment plans; escalate overdue accounts as per policy.
• Accounts Receivable Specialist Duties: Prepare and submit invoices; apply payments; monitor balances; support month-end/year-end close; maintain records; participate in projects to streamline processes; conduct collections; respond to inquiries.
• Administrative Assistant Duties (as time allows): Assist with donor gift recording, acknowledgement, and reconciliation; audit service provider mileage.

• Proven experience in medical billing and accounts receivable management.
• Knowledge of insurance verification, authorizations, denial management, and AR workflows.
• Proficiency with Practice Perfect (EMR) and Microsoft Office Suite.
• Experience with QuickBooks is required.
• Strong communication and organizational skills; ability to work independently and manage time in a remote environment.
• Knowledge of CPT, ICD-10, and insurance billing guidelines is a plus.
• Experience in healthcare administration or physical therapy billing is preferred.

• Competitive salary commensurate with experience.
• Opportunities for professional development and growth.
• Work in a dynamic and supportive team environment.
• Make a meaningful impact by helping to build and strengthen families in the Philippines.

Be the first to learn about the latest Prior Authorization specialist US healthcare permanent WFH jobs in Bacoor. Set up email alerts for job title and location.