Medical Biller - Virtual Assistant

This is a remote position.

Virtual Rockstar is seeking an experienced and assertive Medical Biller / AR Specialist to support a well-established orthopedic surgery practice based in California. This full-time remote role focuses on managing insurance and patient accounts receivable (AR), with a critical eye for detail and a passion for patient-focused service.

About our client:

Our client is a respected private orthopedic surgery practice specializing in hand and upper extremity care (hand, wrist, arm, and shoulder). With a team of four full-time surgeons and one semi-retired physician, their mission is rooted in delivering high-quality, compassionate care. The practice operates with a tight-knit, collaborative team of around 20 staff who believe in teamwork, mutual support, and patient-first values.

As the Medical Biller / AR Specialist, you will take ownership of the accounts receivable function. You’ll investigate unpaid or underpaid claims, file appeals, and work directly with patients to collect outstanding balances. This role requires strong communication skills, critical thinking, and confidence in navigating complex billing issues with both insurance companies and patients.

Responsibilities

Insurance AR & Claims Management

• Review aged insurance accounts and determine follow-up steps.

• Analyze Explanation of Benefits (EOBs), CPT codes, ICD-10 codes, and contract allowable amounts.

• Confirm proper posting of insurance payments and identify underpayments.

• File appeals for denied or underpaid claims via Office Ally/Veradigm.

• Work within Veradigm Practice Management, Veradigm EHR, and Payerpath to manage claims efficiently.

• Resolve billing discrepancies and ensure compliance with payer regulations.

Patient AR & Collections

• Contact patients with outstanding balances via phone, email, or postal mail.

• Use Phreesia to send balance reminders and receive real-time payment information.

• Collect on balances while maintaining professionalism, empathy, and persistence.

• Document all interactions and collection efforts accurately.

Additional Support

• Post payments to patient accounts and verify account balances.

• Escalate complex cases to billing leadership when needed.

• Collaborate with the in-house billing team and contribute to a smooth revenue cycle workflow.

Software Used

• Veradigm Practice Management & EHR

• Payerpath (Veradigm billing application)

• Office Ally (Claims clearinghouse)

• Phreesia (Patient engagement and payment processing)

Requirements

Required:

• 2+ years of experience in medical billing and accounts receivable.

• Expertise in insurance claims processing, EOB analysis, and AR follow-up.

• Ability to file appeals and resolve denied or underpaid claims confidently.

• Comfortable with patient collections, including navigating difficult conversations with professionalism.

• Strong organizational and documentation skills.

• Proficiency with healthcare billing platforms (Veradigm, Payerpath, or similar systems).

• Knowledge of CPT/ICD-10 coding and payer reimbursement policies.

Preferred:

• Previous experience in orthopedic or surgical practice billing.

• Experience with Phreesia or similar patient communication platforms.

• Familiarity with hosted EHR/PM systems and cloud-based billing workflows.

• Located in or able to work effectively with teams in the Pacific Time Zone.

Benefits

• 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 in the Philippines.

Originally posted on Himalayas