Virtual Assistant

Virtual Medical Billing Assistant

Looking to hire your next Virtual Medical Billing Assistant? Here’s a full job description template to use as a guide.

About Vintti

Vintti is a cutting-edge staffing agency revolutionizing the way US companies build their teams. Leveraging advanced technology and embracing the power of remote work, we connect SMBs, startups, and firms across the United States with top-tier talent from Latin America. Our platform seamlessly integrates professionals into US business ecosystems, regardless of physical borders. Vintti operates on the principle of a borderless future of work, where skills and expertise trump geographical constraints.

Description

A Virtual Medical Billing Assistant is an essential part of the healthcare administrative team, responsible for managing billing processes in a remote capacity. This role involves preparing, submitting, and tracking medical claims for reimbursement, ensuring accuracy and compliance with healthcare regulations. Additionally, a Virtual Medical Billing Assistant often communicates with insurance companies, healthcare providers, and patients to resolve billing inquiries and discrepancies, thereby optimizing revenue cycles. With a strong focus on detail and efficiency, this position helps healthcare practices maintain financial health and administrative order from a virtual setting.

Requirements

- High school diploma or equivalent (Associate’s degree or higher in healthcare, business, or related field preferred).
- Minimum of 1-2 years of experience in medical billing or a related field.
- Proficiency in using billing and EHR software (e.g., Epic, Cerner, or similar systems).
- Strong understanding of medical billing procedures, insurance claims, and reimbursement processes.
- Knowledge of ICD-10 and CPT coding standards.
- Familiarity with HIPAA regulations and patient confidentiality practices.
- Excellent analytical and problem-solving skills.
- Strong attention to detail and accuracy in data entry and record-keeping.
- Effective time management and organizational skills.
- Strong written and verbal communication skills.
- Ability to work independently and in collaboration with a remote team.
- Proficiency in using Microsoft Office Suite, especially Excel.
- Experience with handling patient billing inquiries and providing exceptional customer service.
- Ability to manage multiple tasks and priorities in a deadline-driven environment.
- Willingness to participate in ongoing training and development activities.
- Comfortable working remotely with reliable internet access and a dedicated workspace.
- Ability to monitor and analyze billing trends and discrepancies.
- Familiarity with the process of handling denied claims and submitting appeals.
- Ability to coordinate effectively with healthcare providers, insurance companies, and collections agencies.

Responsabilities

- Accurately enter patient information and billing data into the billing software.
- Verify insurance coverage and benefits for patients.
- Electronically submit insurance claims and follow up on delays or denials.
- Reconcile billing statements and received payments.
- Communicate with healthcare providers and patients to resolve billing issues.
- Ensure compliance with HIPAA regulations and maintain patient confidentiality.
- Prepare and send patient invoices for outstanding balances.
- Process and post payments from patients and insurance companies.
- Assist in coding diagnoses, procedures, and services using ICD-10 and CPT codes.
- Generate and distribute monthly reports on billing activities and financial status.
- Resolve discrepancies in billing records and payments.
- Provide customer service support for billing inquiries.
- Update patient account information and address changes.
- Attend training sessions and webinars to stay updated on billing guidelines.
- Collaborate with the finance department to accurately allocate and record balances.
- Track and pursue appeals for denied claims to maximize reimbursement.
- Monitor accounts receivable and address aging reports to reduce outstanding balances.
- Manage electronic health records related to billing activities.
- Coordinate with collections agencies for unpaid patient balances.
- Identify and address patterns or trends in billing discrepancies for improvement.

Ideal Candidate

The ideal candidate for the Virtual Medical Billing Assistant role is a meticulous and detail-oriented professional with at least 1-2 years of experience in medical billing or a related field, who holds a high school diploma or equivalent, with a preference for those with an associate’s degree or higher in healthcare, business, or a related discipline. They possess a profound understanding of medical billing procedures, insurance claims, and reimbursement processes, and are proficient in utilizing billing and EHR software, such as Epic or Cerner. Their robust knowledge of ICD-10 and CPT coding standards, coupled with their familiarity with HIPAA regulations, ensures they adhere to patient confidentiality and compliance guidelines meticulously. The candidate excels in analytical and problem-solving tasks, showcasing superior accuracy in data entry and record-keeping. Equipped with exceptional time management, organizational skills, and the ability to manage multiple tasks in a deadline-driven environment, they efficiently track and resolve billing discrepancies. Adept at working independently in a remote setup, they have a reliable internet connection and a dedicated workspace, allowing them to collaborate seamlessly with remote teams. Their excellent written and verbal communication skills, coupled with a commitment to delivering outstanding customer service, make them proficient in handling patient billing inquiries and clarifying billing issues with healthcare providers. Enthusiastic about continuous professional development, the ideal candidate embraces ongoing training and is adept at monitoring and analyzing billing trends. Their experience in managing denied claims, submitting appeals, and coordinating with insurance companies and collections agencies further underscores their competency, making them a highly reliable asset to the team.

On a typical day, you will...

- Review and enter patient information and billing data accurately into billing software.
- Verify insurance coverage and benefits for patients.
- Submit insurance claims electronically and follow up on any delayed or denied claims.
- Reconcile billing statements and payments received.
- Communicate with healthcare providers and patients to clarify billing issues and concerns.
- Maintain patient confidentiality and ensure compliance with HIPAA regulations.
- Prepare and send out patient invoices for any outstanding balances.
- Process and post payments from patients and insurance companies.
- Assist with coding diagnoses, procedures, and services using ICD-10 and CPT codes.
- Generate and distribute monthly reports on billing activities and financial status.
- Resolve discrepancies or issues in billing records and payments.
- Provide customer service support to patients and healthcare providers regarding billing inquiries.
- Update account information and address changes for patients.
- Participate in training sessions and webinars to stay current with billing and insurance guidelines.
- Collaborate with the finance department to ensure balances are correctly allocated and recorded.
- Track and follow up on appeals for denied claims to ensure maximum reimbursement.
- Monitor accounts receivable and work on aging reports to reduce outstanding balances.
- Manage electronic health records (EHR) related to billing activities.
- Coordinate with collections agencies for unpaid patient balances when necessary.
- Identify and address any patterns or trends in billing discrepancies for improvement.

What we are looking for

- Detail-oriented with a high level of accuracy
- Strong analytical and problem-solving abilities
- Excellent verbal and written communication skills
- Proficiency in medical billing software and EHR systems
- Knowledgeable in ICD-10 and CPT coding standards
- Familiar with HIPAA regulations and patient confidentiality
- Effective time management and organizational skills
- Ability to work independently and collaboratively in a remote team setting
- Strong customer service skills and ability to handle billing inquiries
- Aptitude for managing multiple tasks and meeting deadlines
- Willingness to engage in continuous learning and training
- Reliable, with a dedicated workspace and stable internet connection
- Ability to monitor and analyze billing trends
- Experience in handling denied claims and submitting appeals
- Adept at coordinating with healthcare providers, insurance companies, and collection agencies

What you can expect (benefits)

- Competitive salary range based on experience
- Comprehensive health, dental, and vision insurance
- Paid time off (PTO) and holidays
- Flexible work schedule
- Remote work with the convenience of a home office
- Retirement savings plan with employer match
- Professional development and continuing education opportunities
- Access to industry-related training webinars and certifications
- Supportive and collaborative remote team environment
- Opportunities for career growth and advancement
- Employee assistance program (EAP)
- Wellness programs and resources
- Performance bonuses and incentives
- Internet stipend or reimbursement for remote work setup
- Employee recognition and reward programs
- Work-life balance initiatives

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