Medical Billing Specialist - Remote

About the position Zirtual is a work-life balanced company that offers clients experienced, educated remote assistants for their personal and professional needs. Our Medical Billing Specialists strive to meet and exceed client needs and expectations. The Medical Billing Specialists is a vital member of Zirtual. The Medical Billing Specialist is the main point of contact with clients and will work independently with the clients. The Medical Billing Specialist will receive support from their assigned Account Supervisor, who will assist with the client relationship with plan modifications, questions, and provide feedback on quality, delegation issues, and more. As a Medical Billing Specialist, you will play a critical role in managing the financial side of healthcare services. You will serve as a key point of contact for assigned providers and clients, ensuring accurate billing, timely claims processing, and consistent follow-through on reimbursements. You will work independently while receiving support and guidance from your Account Supervisor. Assistants are expected to be available for clients during business hours as agreed upon with each client but around-the-clock availability is not expected. Virtual Assistants send weekly usage reports, respond to all communication within a two-hour response window, maintain detailed and up-to-date client profiles, and follow Zirtual's best practices for success. This role requires strong attention to detail, knowledge of medical billing practices, and the ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Prepare and submit accurate medical claims to insurance companies
• Review and verify patient information, coding, and documentation
• Monitor claim status and follow up on unpaid or denied claims
• Identify and resolve billing discrepancies and rejections
• Post payments and reconcile accounts
• Verify insurance eligibility and benefits
• Communicate with insurance providers regarding claims and appeals
• Track outstanding balances and ensure timely collections
• Follow up on aging reports and unpaid claims
• Maintain accurate financial records and billing documentation
• Generate and send patient statements
• Respond to billing inquiries in a professional and timely manner
• Assist patients in understanding charges and payment options
• Maintain up-to-date patient and billing records
• Prepare regular billing and revenue reports
• Ensure compliance with healthcare regulations and company policies
• Accurately track time and workload as required

Requirements

• Strong knowledge of medical billing procedures and terminology
• Excellent attention to detail and accuracy
• Ability to manage multiple clients and deadlines
• Professional communication and problem-solving abilities
• Ability to work independently in a remote environment
• Associate’s or Bachelor’s degree in Healthcare Administration, Medical Billing, or related field (or equivalent experience)
• Minimum 2–4+ years of medical billing experience
• Experience with insurance claims, denial management, and revenue cycle processes
• Medical billing software (e.g., Kareo, AdvancedMD, or similar)
• EHR/EMR systems (experience with systems like JaneApp is a plus)
• Microsoft Office and/or Google Workspace
• Familiarity with clearinghouses and insurance portals
• Reliable high-speed internet, computer, and phone
• Ability to maintain HIPAA compliance and data security standards
• Available during business hours PST or EST Monday-Friday, unless otherwise agreed in writing with each client

Nice-to-haves

• Bilingual (English/Spanish)
• Experience working with multiple providers or practices
• Experience supporting Indigenous organizations, Indigenous-led businesses, or community-based clients is a strong asset