Medical Billing Specialist - Virtual Assistant

Zohorecruit; Northern (KY); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Rockstar is hiring a Medical Billing Specialist - Virtual Assistant for a fast-paced pediatric therapy practice. This fully remote role supports insurance claims, authorizations, and billing tasks across multiple payer types.

You will verify eligibility, submit prior authorizations, post payments, and maintain billing records in the EHR. The ideal candidate has strong claims experience, attention to detail, and comfort working independently in a remote setting.

Qualifications

• Strong claims experience preferred.
• Familiar with Medicaid, Medicaid MCOs, and Tailored Health Organizations payers.
• Experience with Occupational, Speech, or Physical Therapy authorizations is a plus.
• Proficient in Google Workspace and Microsoft Office.
• Strong communicator across email, chat, phone, and Zoom.
• Detail-oriented, reliable problem solver in a fast-paced pediatric setting.

Responsibilities

• Verify patient insurance eligibility and benefits.
• Submit initial and concurrent prior authorizations to Medicaid, MCOs, Tailored Health Plans, Tricare, and commercial payers.
• Monitor authorization timelines and follow up to prevent gaps in coverage.
• Maintain accurate authorization records in EHR and payer systems.
• Submit additional medical records for claims, appeals, or payer requests.
• Prepare and submit insurance claims accurately and within timelines.
• Research denied/partial payments and assist with follow-up.

Skills

Strong claims experience

Medicaid payor familiarity

Therapy authorizations knowledge

Communication skills

Tools

Google Workspace

Microsoft Office

Company EHR and payer systems

Zoom

Job description

Medical Billing Specialist - Virtual Assistant

Rockstar is an industry-leading staffing company based in Arizona that helps healthcare businesses across the United States streamline operations by connecting them with skilled remote professionals. We partner with talented individuals from around the world, providing meaningful remote career opportunities that empower personal and professional growth.

At Rockstar, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of integrity, excellence, and long-term service. Every placement is an opportunity to make a meaningful difference, for the practice, for patients, and for you.

Job Description

This is a remote position.

Rockstar is hiring a full-timeMedical Billing Specialist - Virtual Assistant on behalf of an outpatient pediatric therapy practice.

This role provides support across billing, insurance, claims, collections, and prior authorization processes. While the role covers the full range of billing functions, someone with strong claims experience specifically is ideal. The VA will be responsible for completing assigned billing and authorization tasks accurately and efficiently, maintaining detailed records, communicating with insurance companies and other parties as needed, and helping ensure claims and authorizations are processed in a timely manner. The ideal candidate is highly organized, detail-oriented, comfortable working independently in a remote environment, and willing to learn and adapt as processes and systems evolve.

About the Client

This is a fast-paced, growth-driven pediatric occupational, speech, and physical therapy practice serving multiple locations. Their mission is to enhance the lives of the children they serve and the families who love them by providing a fun, nurturing, and supportive therapeutic environment.

The practice has expanded significantly in recent years and continues to grow, with future goals centered on expanding the team, developing specialty skills, and becoming a leading, sought-after pediatric clinic for both clients and employees.

Key Responsibilities

Insurance & Prior Authorization

• Verify patient insurance eligibility and benefits
• Submit initial and concurrent prior authorizations to Medicaid, Medicaid Managed Care Organizations (MCOs), Medicaid Tailored Health Plans, Tricare, and commercial insurance payers as required
• Monitor authorization timelines and follow up as needed to help prevent gaps in coverage
• Maintain accurate authorization records and client information in the EHR and payer online systems
• Submit additional medical records as requested for claims, appeals, pre-payment reviews, post-payment reviews, or other payer requests
• Prepare and submit insurance claims accurately and within required timelines
• Research denied claims, rejected claims, and partial payments, and assist with appropriate follow-up
• Review payer correspondence and EOBs for accuracy and appropriate account processing
• Input and/or download manual insurance checks and accurately apply payments to patient accounts
• Review payment postings to ensure accurate allocation of payments, adjustments, and patient responsibility
• Assist with identifying and resolving billing discrepancies
• Maintain accurate and complete billing documentation in the company EHR and payer online systems

Administrative & General Support

• Follow established billing workflows and payer-specific requirements
• Communicate professionally with insurance companies, patients, physician offices, and internal staff
• Coordinate and follow up with clinical and office staff regarding billing, authorization, and documentation needs
• Accurately document all relevant communication, follow-up, and account activity
• Complete assigned tasks within established timelines
• Assist with other billing, authorization, insurance, and administrative tasks as assigned after appropriate training

Tools & Systems

• Google Workspace
• Microsoft Office
• Company EHR and payer online systems
• Zoom (for training and meetings)

Requirements

• Strong claims experience is highly preferred
• Familiarity with Medicaid, Medicaid Managed Care, and Tailored Health Organizations payers
• Experience with Occupational, Speech, or Physical Therapy authorizations is a plus
• Proficient in Google Workspace, Microsoft Office, and general computer literacy
• Strong communicator across email, chat, phone, and Zoom
• Adaptable, detail-oriented, and a reliable problem solver
• Comfortable in a fast-paced environment and genuinely enjoys working with the pediatric population

Non-Negotiables

• Organized individual with great attention to detail
• Initiative and follow-through
• Great communication skills (with internal staff, client families, and physician offices)
• Competitive salary commensurate with experience.
• Opportunities for professional development and growth.
• Work in a dynamic and supportive team environment.
• Make a meaningful impact by helping to build and strengthen families across the Globe