Medical Billing & Claims Specialist

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Winning Assistants LLC

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51 - 200 employees

At Winning Assistants, we help doctors, healthcare professionals, and business owners save time, cut costs, and scale their operations with highly skilled, HIPAA-compliant virtual assistants. Our VAs handle tasks like admin support, medical office management, marketing, and customer service, allowing you to focus on growth.

📋 Description

• Process and submit medical claims accurately and in a timely manner • Follow up on outstanding claims with insurance companies • Research and resolve denied, rejected, or unpaid claims • Track claim status and ensure proper reimbursement • Review Explanation of Benefits (EOBs) and payment postings • Verify patient insurance eligibility and benefits • Submit and track prior authorizations (pre-auths) • Coordinate with providers, insurance carriers, and patients regarding billing concerns • Maintain accurate billing documentation and records • Administrative Support • Assist with general administrative and clerical tasks • Maintain and update patient records and databases • Manage emails and billing-related correspondence • Support scheduling and other operational workflows as needed • Assist with reporting and documentation requests

🎯 Requirements

• Previous experience in medical billing and claims processing required • Strong understanding of insurance verification, claims follow-up, denials management, and prior authorizations • Experience using Availity strongly preferred • Familiarity with EMR/EHR systems and medical billing software • Excellent attention to detail and organizational skills • Strong written and verbal communication skills • Ability to work independently and manage multiple priorities • Comfortable working in a fast-paced healthcare environment • Preferred Experience • Medical Billing • Revenue Cycle Management (RCM) • Insurance Verification • Prior Authorizations • Claims Follow-Up • Denials & Appeals • Availity • Healthcare Administration • Patient Coordination

🏖️ Benefits

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. • Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. • HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. • Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. • Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. • Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. • Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. • Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.