Medical Billing & RCM Specialist

🔥 0 minutes ago

🇵🇭 Philippines – Remote

💵 $10.4k - $12.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Winning Assistants LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Winning Assistants LLC is a staffing and recruiting company that provides virtual assistants from the top 1% of the global talent pool. They specialize in helping doctors, healthcare professionals, and business owners save time, reduce costs, and scale operations with highly skilled, HIPAA-compliant virtual assistants. Their services include admin support, medical office management, marketing, and customer service, allowing clients to focus on growth.

📋 Description

• Manage day-to-day medical billing and Revenue Cycle Management (RCM) • Prepare, submit, and track medical claims through payment • Investigate and resolve claim denials, rejections, and unpaid claims • Follow up with insurance companies regarding outstanding claims and reimbursement • Perform insurance eligibility and benefits verification • Process and track prior authorizations and ensure proper documentation • Work extensively with Optum • Maintain accurate patient, billing, insurance, referral, and authorization records • Use Office Ally, insurance portals, clearinghouses, Square, spreadsheets, and shared drives • Maintain clear documentation of billing activities and unresolved issues • Communicate professionally with insurance representatives, patients, and healthcare offices • Follow established SOPs and workflows while maintaining HIPAA compliance

🎯 Requirements

• U.S. healthcare experience is required • Medical Billing and RCM experience is required • Experience handling claims from submission through payment • Experience resolving denials, rejections, and unpaid claims • Insurance verification and prior authorization experience is required • Experience using healthcare billing, EHR, or practice management systems • Office Ally experience is highly preferred • Optum experience is a strong advantage • Experience with insurance portals and clearinghouses • Strong understanding of U.S. medical billing and insurance workflows • Previous remote/VA experience is preferred but not required • No medical degree or clinical license is required • Strong attention to detail, organization, and problem-solving skills • Ability to manage multiple claims, follow-ups, and deadlines • Strong written and verbal English communication skills • Professional phone communication skills • Ability to work independently and follow detailed SOPs • Knowledge of HIPAA compliance; certification is preferred • Must provide an NBI Clearance and/or Local Police Clearance before onboarding • Must be available for video meetings with the camera on when required • Reliable laptop or desktop computer • Stable high-speed internet connection of at least 25 Mbps • Noise-canceling headset • Working webcam • Quiet and professional work environment

🏖️ Benefits

• Dedicated HR & Contractor Support Team • Premium VPN Access (Optional) • HIPAA & Cybersecurity Training + Certification (Provided) • Top 1% VA Performance Training • Client-Approved U.S. Holidays • Client-Approved Paid or Unpaid Time Off • Access to Tools & Resources • Optional Performance-Based Incentives • Independent contractor perks and client-approved allowances