This is a remote position.
Virtual Rockstar is hiring a full-time Medical Claims/AR Specialist - Virtual Assistant on behalf of a growing speech therapy practice.
This role is focused on claims management — following up on outstanding claims, processing secondary billing, resolving rejections, and handling appeals for a high-volume practice processing 80–100 claims per day. The ideal candidate is a meticulous, experienced claims/AR professional who can independently research and resolve claim issues with minimal oversight.
This is an excellent opportunity for a detail-oriented, reliable specialist who takes integrity and accountability seriously and wants to be a trusted part of a focused, high-performing team.
About Our Client
Our client is a pediatric therapy practice that provides speech and occupational therapy services. Their work centers on child-centered, neuro-affirming care and strong family partnership. They value accuracy, integrity, and clear communication and operate with a highly organized, system-driven workflow.
The team emphasizes quality over volume and integrates virtual team members as full contributors through structured systems, documentation, and regular communication. Rather than a traditional clinic model, this practice brings therapy directly to clients in their own homes and communities, removing barriers like travel and rigid scheduling so families can focus on progress. Their approach is trauma-informed, evidence-based, and rooted in helping each person build lasting skills in the environments where they actually live, learn, and grow.
Key Responsibilities
Process and submit claims to insurance
Follow up on unpaid and outstanding claims — handling a volume of 80–100 claims per day
Manage secondary billing
Research and resolve claim rejections
Review and handle claim appeals
Resolve billing discrepancies
Ensure compliance with coding and billing regulations
Generate billing reports for management
Update patient files with insurance information
Liaise with insurance providers (via payer portals) to clarify coverage details
Track status of pending insurance claims
Assist with insurance-related queries
Handle occasional client communication via email
Participate in daily team communication via Slack and weekly office staff meetings
Tools & Systems
IntakeQ
Notion
Quo
Outlook
Payer Portals
Custom EMR
Slack (daily team communication)
Insightful (time-tracking and activity monitoring — required)
Proven experience in medical claims and AR follow-up — high-volume claims experience strongly preferred
Strong research skills — able to independently investigate and resolve claim rejections and discrepancies
Experience with secondary billing processes
Excellent written English communication skills for occasional client correspondence
Comfortable using Slack for daily communication and attending weekly team meetings
High level of integrity and accountability — must be comfortable working under daily activity monitoring via the Insightful tracking system
Detail-oriented and able to manage a high volume of claims accurately and consistently
Non-Negotiables
Integrity — candidates must be comfortable with daily monitoring via the Insightful tracking system for moonlighting activity or idle time
Accuracy and reliability in claims processing and foll
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

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