[Hiring] Medical Billing & Claims Specialist Virtual Assistant @Winning Assistants

Role Description

We are seeking an experienced Medical Billing & Claims Specialist Virtual Assistant to support our growing healthcare team as we transition our billing operations in-house. The ideal candidate will have hands-on experience with medical billing, insurance claims processing, pre-authorizations, and payer follow-up. Experience with Availity is highly preferred.

In addition to billing-related responsibilities, this individual will assist with administrative tasks to help ensure smooth daily operations.

Key Responsibilities

• 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
• 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

Qualifications

• 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

Basic Requirements

• 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)

Technical Requirements

• 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