Virtual Medical Biller / Accounts Receivable (A/R) Specialist
Location
Worldwide
Posted
3 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Virtual Medical Biller / Accounts Receivable (A/R) Specialist
Staffing for Doctors
Role Description We are seeking an exceptionally analytical, detailed-oriented, and results-driven Virtual Medical Biller / Accounts Receivable (A/R) Specialist to manage the revenue cycle operations for our premium ophthalmology practice. This is not a passive data-entry role. We are looking to internalize and elevate our financial operations by adding a dedicated billing professional to improve claim resolution, drastically reduce outstanding accounts receivable, and optimize our revenue cycle alongside an existing outsourced team. - Accounts Receivable (A/R) & Full Revenue Cycle Management - End-to-End RCM Oversight: Manage the complete medical billing lifecycle from clean claim submission through to final payment allocation, ensuring zero gaps in the financial pipeline. - Aggressive A/R Recovery: Review aging reports, prioritize outstanding balances, and actively follow up with insurance carriers regarding unpaid, underpaid, or delayed claims to consistently optimize cash flow. - Audit & Documentation: Maintain meticulous documentation of all collection efforts, payer communications, and billing files within the clinical ecosystem. - Denials, Appeals & Compliance - Denial Investigation: Deeply investigate denied or rejected claims to pinpoint root causes, correct claim errors, and execute rapid resubmissions. - Appeals Management: Prepare, document, and submit clinical and administrative appeals with solid supporting documentation, monitoring status through to final resolution. - Specialty Coding & Medical Necessity: Review CPT, ICD-10, and modifier usage for total billing accuracy. Ensure all submitted claims strictly meet payer-specific guidelines and satisfy medical necessity criteria. - Ophthalmology Domain Expertise: Minimum of 2–3 years of specialized medical billing experience specifically within Ophthalmology or Retina practices. Ophthalmology surgery billing experience is a major asset. - Payer Fluency: Solid, practical working knowledge of Medicare and Medi-Cal billing guidelines, reimbursement structures, and compliance standards. - Software Literacy: Hands-on proficiency navigating DrChrono EMR is strongly preferred. Strong technical competency with digital clearinghouses and billing analytics tools is required. - Phonetic & Verbal Excellence: Flawless verbal and written English communication skills. Must be highly articulate and professional when negotiating with insurance adjusters and collaborating with internal staff. - Remote Workspace: Full-time availability (40 hours per week). Ability to work completely independently from a silent, distraction-free virtual home office. Qualifications - Proactive and highly analytical. - Solution-oriented mindset. - Ability to identify recurring denial trends and implement workflow improvements. - Built for a fast-paced specialty environment. - Pride in keeping an A/R aging ledger exceptionally clean.
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