Medical Biller

3 days ago

Manila, National Capital Region, Philippines Virtual Rockstar Full time

This is a remote position.

Virtual Rockstar is seeking a highly organized, proactive, and experienced Medical Biller & Administrative Coordinator to support our client's Occupational Therapy and Physical Therapy practice in Colorado. This remote, full-time role requires excellent communication, strong problem-solving skills, and the ability to work independently while managing essential billing, scheduling, and administrative workflows.

Responsibilities

Medical Billing & Insurance Management

  • Manage the full end-to-end billing cycle for OT/PT services.

  • Handle Medicaid billing, including submitting claims, correcting errors, and navigating state-specific processes.

  • Process, track, and submit prior authorization requests.

  • Follow up on unpaid, delayed, or denied claims.

  • Ensure accurate posting of payments and reconciliation of patient accounts.

  • Maintain compliance with CPT/ICD-10 coding requirements and payer billing regulations.

  • Run weekly and monthly financial and billing reports for management review.

Administrative & Patient Coordination

  • Call new patients to schedule initial evaluations and collect required intake information.

  • Communicate with physician offices to obtain signed plans of care, referrals, and documentation needed for billing.

  • Follow up routinely with referral sources and physician offices via email and phone.

  • Transfer patient data, notes, and schedules from CRM to EMR systems accurately.

  • Provide clear explanations of insurance benefits to patients and address billing questions.

Process Management & Communication

  • Follow current SOPs (Standard Operating Procedures) and update them as needed to improve efficiency and accuracy.

  • Communicate with the practice owner every morning (start-of-day check-in) and every evening before logging off.

  • Work independently with minimal supervision while maintaining accountability and consistent productivity.

Requirements

  • Proven experience as a Medical Biller in a healthcare setting (OT/PT experience strongly preferred).

  • Experience with Medicaid billing, prior authorizations, and appeals.

  • Proficiency with HelloNote EMR, Go High Level, and Inovalon preferred.

  • Strong understanding of CPT/ICD-10 coding and insurance verification.

  • Excellent communication skills—verbal, email, and phone—especially when working with referral sources and physician offices.

  • Highly organized, detail-oriented, and capable of managing multiple priorities independently.

  • Reliable internet connection and a dedicated home office setup.

  • Ability to work full-time during Colorado business hours.

Benefits

  • 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 across the globe.

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