Medical Billing 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

• Submit and monitor insurance claims for accurate and timely reimbursement. • Post and reconcile insurance and patient payments. • Perform AR follow-up with insurance companies to resolve unpaid or underpaid claims. • Investigate claim status, payment discrepancies, and outstanding balances. • Assist with patient billing inquiries as needed. • Review denied and rejected claims in Athena EHR. • Research denial reasons and implement corrective actions. • Prepare and submit claim appeals with supporting documentation. • Correct billing, coding, or eligibility issues and resubmit claims. • Track denial trends and maintain documentation of resolutions. • Generate billing, collections, and revenue reports. • Track free care, write-offs, and uncompensated services. • Assist with revenue reconciliation and reporting. • Identify opportunities to improve collections and cash flow.

🎯 Requirements

• At least 1 year of proven experience in medical billing and revenue cycle management. • Strong background in denial management, claim appeals, and AR follow-up. • Experience with Athena EHR/Athenahealth is required. • Knowledge of insurance verification, claim processing, and CPT/ICD coding concepts. • Strong analytical, organizational, and problem-solving skills. • Ability to work independently and efficiently manage billing backlogs. • Excellent attention to detail and communication skills. • Must be proficient in speaking and writing English very clearly. • Must have relevant work experience. • Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory]. • Must be available for video meetings with your camera on (when needed). • Device: Reliable laptop or desktop computer. • Internet: High-speed connection (minimum 25 Mbps). • Audio: Noise-canceling headset. • Video: Webcam for virtual meetings. • Workspace: Quiet, professional environment.

🏖️ 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.