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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
