Generate, send, and follow up on client invoices accurately and on schedule
Perform claim validation (demographics, CPT codes, modifiers, authorizations, and payer rules)
Submit primary and secondary insurance claims
Conduct claim follow-ups, including: Status checks, Simple corrections (missing information, minor data errors, modifier updates), Claim resubmissions when appropriate
Review processed claims to ensure correct payments and proper application of deductibles and coinsurance
Identify and resolve basic billing discrepancies
Respond to billing inquiries via email and phone
Explain statements, balances, and insurance-related questions clearly and professionally
Escalate complex billing issues to senior billing staff as needed
Submit and track prior authorizations
Post payments and reconcile accounts
Process physical mail, faxes, and billing-related correspondence
Review and appeal denied claims
Monitor payer policies and identify reimbursement trends
Prepare billing reports (weekly, monthly, or quarterly)
Assist with audits, ERA/EFT enrollments, and compliance reviews
Maintain accurate billing records and documentation
Perform data pulls and reporting as requested
Follow established SOPs consistently
Escalate issues appropriately rather than guessing

Minimum 3 years of medical billing experience for Billing Associate
Minimum 5 years of advanced medical billing or revenue cycle experience for Billing Specialist
Experience in speech and occupational therapy billing is strongly preferred
Strong understanding of CPT codes, NCCI edits, EOBs, deductibles, coinsurance, and payer rules
Excellent attention to detail and accuracy
Strong written and verbal English communication skills
Process-driven and comfortable with repetitive, volume-based workflows
Confident escalating issues appropriately
Reliable, organized, and consistent
Laptop (no desktop-only setups) with updated OS and antivirus
Webcam and headset with microphone
Secure, private workspace
Power backup (UPS or portable power station)
Dual internet setup (primary broadband + mobile hotspot backup)

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

Medical Biller, Virtual Assistant

Key skills