Medical Billing, Accounts Receivable Follow-Up VA, EHR: Therapy Notes

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Assume responsibility for managing a billing backlog consisting of around 50 rejected claims.

• Examine rejected or unpaid claims in TherapyNotes to identify reasons for rejection, denial, or payment delays.

• Rectify billing discrepancies and resubmit claims as necessary.

• Prioritize claims that are time-sensitive and adhere to reimbursement deadlines.

• Conduct follow-ups on Accounts Receivable pertaining to outstanding insurance balances.

• Reach out to insurance companies for updates on claim statuses and to gather required documentation or corrective measures.

• Consistently follow up on unresolved claims until a resolution is achieved or the next steps are determined.

• Maintain documentation of claim statuses, payer responses, corrective actions taken, and follow-up requirements.

• Analyze and interpret Explanation of Benefits (EOBs).

• Investigate issues related to insurance rejections, denials, payment discrepancies, and billing matters.

• Identify recurring billing issues that lead to claim rejections.

• Assist with billing disputes and discrepancies in reimbursements.

• Develop a systematic process for tracking rejected and pending claims.

• Highlight complex billing or recoupment issues for escalation.

• Provide updates regarding recovered claims, outstanding balances, and action items.

• Enhance billing accuracy and follow-up processes to minimize future claim rejections.

• Manage a secondary email account for employee reports tied to the practice’s DCFS contract.

• Oversee the coordination of monthly DCFS reports and remind staff to submit timely information.

• Aid in organizing administrative emails and follow-up tasks.

• Assist with SAM renewals, credentialing, and re-credentialing processes.

• Respond to or assist with phone inquiries as necessary.

• Contribute to additional administrative projects as assigned.

⛳️ Requirements

• Hands-on experience with TherapyNotes for billing is REQUIRED.

• Experience in medical insurance billing and claims processing is REQUIRED.

• Strong background in AR follow-up, rejected claims, denials, EOBs, and insurance follow-ups.

• Ability to independently investigate claim issues and determine appropriate next steps.

• Solid understanding of the insurance reimbursement lifecycle.

• Experience in communicating with insurance companies regarding claim statuses, rejections, denials, and billing discrepancies.

• Strong attention to detail when reviewing claim information and identifying billing errors.

• Comfortable in managing billing disputes and complex insurance-related issues.

• Knowledge of HIPAA regulations and the ability to maintain strict confidentiality.

• Excellent written and verbal communication skills in English.

• Capability to work independently and handle multiple outstanding claims and follow-up deadlines.

• Relevant work experience is required.

• Must present an NBI Clearance and/or Local Police Clearance before onboarding.

• Attendance in video meetings with the camera on is required when necessary.

• Proficient with TherapyNotes, email platforms, phone/VoIP systems, Slack, Salesforce, WhatsApp, Skype, Zoom, Google Meet, and other communication tools.

• Preferred: experience in behavioral health, mental health, counseling, psychology, or psychiatric practice.

• Preferred: experience with Medicaid and commercial insurance.

• Preferred: experience with Blue Cross/Blue Cross Medicaid claims.

• Preferred: experience in insurance credentialing or recredentialing.

• Preferred: familiarity with SAM renewals.

• Must have a reliable laptop or desktop computer.

• A stable high-speed internet connection of at least 25 Mbps is necessary.

• A noise-canceling headset is required.

• A working webcam is mandatory.

• A quiet and professional work environment is essential.

🏝️ Benefits

• Dedicated HR & Contractor Support Team.

• Premium VPN access (optional).

• HIPAA & Cybersecurity Training + Certification.

• Top 1% VA Performance Training.

• Client-approved U.S. holidays.

• Client-approved paid or unpaid time off; paid time off is optional and only if offered by the client.

• Access to tools and resources, including templates, workflow guides, productivity tools, and client-specific SOP support.

• Optional performance-based bonuses, incentives, or increased hours.