Offer summary

Qualifications:

Experience with therapy billing and insurance verification preferred., Prior experience in medical billing, coding, or healthcare administration is preferred., Strong attention to detail and organizational skills are essential., Excellent communication skills, both written and verbal, are necessary for interacting with patients and insurance providers..

Key responsabilities:

Process and submit claims to insurance providers for therapy services.

Manage and maintain therapist credentials in compliance with insurance regulations.

Verify patient insurance coverage and obtain pre-authorizations for procedures.

Follow up on unpaid claims and resolve billing discrepancies.

Job description

This is a remote position.

Virtual Rockstar is looking for a motivated and detail-oriented full-time Medical Biller to join our client’s growing team. The ideal candidate will play a crucial role in maintaining accurate billing processes and supporting the administrative needs of our client’s clinic. This position offers the opportunity to work remotely and be a part of a dedicated team that is passionate about providing exceptional therapy services.

About our client:

At The Pediatric Playhouse, we are dedicated to providing the highest standard of care to each child we serve. We utilize a family-focused, interdisciplinary approach that promotes each child’s individual success, and we strive to develop meaningful, supportive relationships with every family we work with. Our team culture is one of the keys to our success—we are a tight-knit group that collaborates to provide the best possible care. We combine extensive experience with innovative, evidence-based therapy techniques to ensure the best possible outcomes for the children under our care.

Responsibilities:

Therapy Billing: Process and submit claims to insurance providers for therapy services.
Therapist Credentialing: Manage and maintain therapist credentials in compliance with insurance regulations.
Insurance Verification: Verify patient insurance coverage and obtain pre-authorizations for procedures.
Patient Chart Maintenance: Ensure patient charts are accurately maintained with up-to-date insurance information and documentation.
Claims Management: Follow up on unpaid claims, track the status of pending claims, and resolve billing discrepancies.
Patient Insurance Queries: Assist patients with insurance-related inquiries and explain insurance benefits.
Denied Claims Appeals: Review and appeal denied claims to ensure proper reimbursement.
Compliance: Ensure billing and coding compliance with all applicable regulations.
Reports & Invoices: Generate billing reports for management, prepare invoices, and maintain accurate electronic medical records.

Requirements

Experience with therapy billing and insurance verification preferred.
Familiarity with tools such as Fusion Web Clinic (EMR), Microsoft Office Suite, Microsoft Teams, and Adobe is a plus, but not required.
Strong attention to detail, organizational skills, and ability to work independently.
Ability to handle sensitive patient information with confidentiality and professionalism.
Excellent communication skills, both written and verbal, to work with patients and insurance providers.
Prior experience in medical billing, coding, or healthcare administration is preferred.

Additional Skills & Requirements:

Ability to manage and prioritize multiple tasks in a fast-paced environment.
Proficiency in data entry and generating basic reports.
Strong problem-solving skills, especially in managing and resolving insurance-related issues.
Ability to maintain a positive and professional relationship with patients, families, and insurance providers.

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 in the Philippines.