Remote Medical Virtual Biller (RCM, Authorizations & Verification Specialist)

We are seeking an experienced, detail-oriented Medical Virtual Biller to join our remote operations team. In this role, you will be responsible for managing end-to-end Revenue Cycle Management (RCM) tasks, with a heavy emphasis on patient benefit verification, tracking maximum benefits, and coordinating complex payer documentation.

If you have a strong background in U.S. healthcare billing, possess deep familiarity with insurance verification protocols, and excel at securing prior authorizations and clinical letters, we want to hear from you!

We are seeking an experienced, detail-oriented Medical Virtual Biller to join our remote operations team. In this role, you will be responsible for managing end-to-end Revenue Cycle Management (RCM) tasks, with a heavy emphasis on patient benefit verif...

• Benefit Verification & Eligibility: Accurately verify patient insurance coverage, active policy status, copays, deductibles, coinsurance, and maximum benefit limits prior to service delivery.

•  Prior Authorizations & LOAs: Proactively initiate, track, and follow up on Letters of Authorization (LOAs) and pre-authorizations with insurance payers to ensure timely approvals and prevent claim denials.

•  Payer Correspondence & LOIs: Draft, compile, and submit Letters of Intent / Medical Necessity (LOIs) alongside clinical documentation to support appeals, gap-in-network exceptions, or specialized treatments.

•  Full-Cycle RCM Support: Handle tasks across the billing lifecycle, including charge entry, claim submission, payment posting, and handling accounts receivable (A/R) follow-ups or denials.

•  Documentation & Compliance: Maintain meticulous records of payer interactions, authorization numbers, and patient financial clearances within our Electronic Health Record (EHR) / Practice Management systems while maintaining strict HIPAA compliance.

Qualifications & Requirements

•  Experience: Minimum of 2–3+ years of hands-on experience in U.S. Medical Billing, Medical Virtual Assisting, or RCM roles.

•  Core Knowledge: Proven expertise in handling insurance verification, calculating/tracking maximum benefits, and securing LOAs and LOIs.

•  Technical Proficiency: Familiarity with major U.S. EHR/PM platforms (e.g., Epic, Athenahealth, eClinicalWorks, Kareo, or similar systems) and clearinghouse portals.

•  Communication Skills: Excellent written and spoken English, with the confidence to communicate professionally with U.S.-based insurance providers, patients, and internal team members.

•  Home Setup: A reliable high-speed internet connection (minimum 25+ Mbps) and a quiet, secure, HIPAA-compliant home office workspace.