P-CPT-0017 Admin/Business Support (Medical Billing) - For Pooling Purposes

Job description

IMPORTANT NOTE: If you have already passed the 20four7VA Recruitment Process after the Final Interview, or you have been hired by a 20four7VA Client before, make sure that you are applying via the 20four7VA Team Portal , for faster processing of your application. You will be logging in using your 20four7VA email address. If you have just logged in to the Team Portal, please continue reviewing the Job Description below. You don't need to type all the information in the application form, upload your resume first and see the magic! If you are interested in the job, click APPLY TO POSITION. ******************************************************************** Job Overview We are continuously building our talent pool for experienced Medical Billing Specialists, Medical Billing Virtual Assistants, Revenue Cycle Specialists, and Insurance Claims Professionals to support healthcare providers, medical practices, clinics, hospitals, behavioral health organizations, and healthcare management companies. Unlike general Medical or Telehealth Virtual Assistant roles, this position is specifically focused on medical billing, coding support, insurance claims management, accounts receivable, payment reconciliation, and revenue cycle operations . The ideal candidate possesses strong knowledge of healthcare billing processes, insurance guidelines, reimbursement procedures, and regulatory compliance requirements. Successful applicants should be highly analytical, detail-oriented, HIPAA-compliant, and experienced in managing the financial side of healthcare operations while maintaining accuracy, efficiency, and compliance. A dual-monitor (dual-screen) setup is highly preferred to support efficient claims processing, account reconciliation, and multitasking across billing, EHR, and payer systems. This posting is for pooling purposes only. We welcome: Experienced Medical Billing Specialists and Revenue Cycle Professionals Certified Medical Coders and Billing Specialists Healthcare Virtual Assistants specializing in billing and claims management Candidates seeking full-time or part-time opportunities Applicants interested in voice or non-voice roles Professionals available across different schedules and time zones Key Responsibilities Medical Billing & Claims Management Prepare, review, and submit accurate insurance claims to government and commercial payers. Ensure claims are submitted within required deadlines and according to payer-specific guidelines. Monitor claim status and proactively resolve rejected, denied, or delayed claims. Conduct claims follow-up to maximize reimbursements and reduce outstanding balances. Review explanations of benefits (EOBs), remittance advice, and payer correspondence. Process claim corrections, appeals, reconsiderations, and resubmissions as required. Revenue Cycle Management (RCM) Manage accounts receivable (A/R) and track outstanding payments. Follow up on unpaid, underpaid, or denied claims. Analyze reimbursement trends and identify billing issues impacting revenue. Support end-to-end revenue cycle processes to improve collections and cash flow. Reconcile patient accounts, payments, adjustments, and billing records. Assist in reducing claim denial rates and improving reimbursement accuracy. Insurance Verification & Eligibility Verify patient insurance coverage, benefits, authorizations, and eligibility. Confirm co-pays, deductibles, and patient financial responsibilities. Communicate with insurance companies regarding coverage questions and claim resolutions. Maintain accurate insurance information within billing and EHR systems. Medical Coding Support Review documentation to ensure accurate assignment of diagnosis and procedure codes. Support billing processes using ICD-10, CPT, and HCPCS coding standards. Identify coding discrepancies that may impact reimbursement. Collaborate with providers and coders to improve billing accuracy and compliance. Billing Administration & Reporting Maintain accurate patient billing records and financial documentation. Generate billing, collections, and reimbursement reports. Audit billing information to ensure completeness and accuracy. Investigate and resolve billing discrepancies and payment variances. Assist with month-end reporting and financial reconciliation activities. Compliance & HIPAA Maintain strict compliance with HIPAA regulations and healthcare privacy standards. Protect Protected Health Information (PHI) and confidential financial records. Stay current on payer requirements, CMS guidelines, billing regulations, and industry best practices. Ensure billing processes adhere to healthcare compliance and regulatory standards. Preferred Software & Platform Experience Experience with one or more of the following is highly preferred: Medical Billing & Revenue Cycle Software EHR/EMR Systems Practice Management Software Kareo Epic Athenahealth AdvancedMD Cerner eClinicalWorks Medisoft MEDITECH AdvancedMD Office Ally Athenahealth Kareo NextGen eClinicalWorks (eCW) NextGen DrChrono Practice Fusion PracticeSuite NextGen Healthcare CureMD CollaborateMD Waystar Coding & Compliance Tools Productivity & Administrative Tools EncoderPro Microsoft Office Suite (Word, Excel, Outlook) 3M CodeFinder Google Workspace (Docs, Sheets, Drive, Calendar) Optum Coding Solutions CRM and ticketing platforms such as Salesforce and Zendesk ICD-10, CPT, and HCPCS coding resources Minimum Qualifications Associate's or Bachelor's Degree in Healthcare Administration, Health Information Management, Business Administration, Medical Office Administration, or a related field preferred. Additional certification or formal training in Medical Billing, Medical Coding, Revenue Cycle Management, or Healthcare Administration is highly desirable. Minimum of 2 years of experience in medical billing, claims processing, accounts receivable, insurance verification, or revenue cycle management. Strong understanding of healthcare reimbursement processes and insurance claim workflows. Demonstrated knowledge of HIPAA regulations and handling of Protected Health Information (PHI). Preferred Skills & Competencies Strong knowledge of medical billing procedures and healthcare reimbursement processes. Working knowledge of ICD-10, CPT, and HCPCS coding systems. Experience managing insurance claims, denials, appeals, and collections. Understanding of Medicare, Medicaid, commercial insurance, and payer requirements. Strong attention to detail and commitment to accuracy. Excellent analytical, problem-solving, and troubleshooting abilities. Strong organizational and time-management skills. Excellent written and verbal communication skills. Ability to work independently and efficiently in a remote environment. Proficiency in medical billing software, EHR/EMR systems, and Microsoft Excel. Ability to manage multiple priorities while meeting performance and turnaround targets. High degree of professionalism, confidentiality, and integrity. Comfortable working with multiple applications simultaneously; dual-screen setup strongly preferred. Want to work with this amazing client? Apply now and join 20four7VA! Join the remote world, today. What we offer: Competitive rates Weekly payments Annual rate increase (based on performance) Paid time off Paid holidays Various open roles are available Free training and upskilling Constant support and guidance from managers and mentors Clear schedules and guidelines A vibrant community always ready to support you And more! Note: This position is intended for pooling purposes only. Candidates will be contacted when a suitable vacancy arises.