Medical Billing & Scheduling Coordinator

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

📋 Description

• Organize and manage patient appointments across two office locations.

• Oversee appointment reminders to minimize patient no-shows.

• Reschedule appointments as necessary while ensuring provider availability.

• Handle patient follow-ups and manage scheduling communications.

• Keep precise scheduling records across all systems.

• Execute daily medical billing tasks efficiently.

• Follow up on unpaid and denied insurance claims.

• Assist with activities related to Revenue Cycle Management (RCM).

• Identify and resolve claim denials to optimize reimbursements.

• Support billing documentation and reconcile accounts.

• Verify patient insurance eligibility and benefits.

• Submit, monitor, and manage prior authorization requests.

• Access and download authorization information via the Optum portal.

• Maintain records and documentation for authorization tracking.

• Collaborate with insurance companies regarding authorization approvals and updates.

• Manage inbound and outbound patient phone calls.

• Assist with patient follow-up communications.

• Update spreadsheets and patient information accurately.

• Utilize Office Ally as the primary practice management system.

• Use Clearinghouse for scheduling and patient information.

• Employ Square for appointment holds and payment processing.

• Access insurance portal Optum for authorization needs.

• Create custom spreadsheets for patient data, referral doctor information, test requirements, and authorization tracking.

• Operate a basic phone system (traditional phone line).

⛳️ Requirements

• Experience in the healthcare industry is **REQUIRED**.

• Medical billing and Revenue Cycle Management (RCM) experience is **REQUIRED**.

• Experience with insurance verification and prior authorizations is **REQUIRED**.

• Proficiency in using **Office Ally** is highly preferred.

• Required Skills:

• Strong grasp of healthcare workflows.

• Experience in patient scheduling and appointment coordination.

• Knowledge of insurance verification and eligibility processes.

• Familiarity with handling prior authorizations.

• Revenue Cycle Management (RCM) expertise.

• Skills in claims follow-up and denial management.

• Experience in billing documentation and payment processing.

• Knowledge of insurance claims.

• Deal Breakers❌ No healthcare industry experience **❌ No medical billing or Revenue Cycle Management (RCM) experience** ❌ No experience with insurance verification or prior authorizations **❌ Poor organizational or multitasking skills** ❌ Inability to maintain HIPAA compliance.

• Basic Requirements:

• Must communicate in English clearly and professionally.

• Must have relevant work experience.

• Must provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).

• Must be available for video meetings with the camera on when required.

• Technical Requirements:

• Computer: Reliable laptop or desktop computer.

• Internet: Stable high-speed internet connection (minimum 25 Mbps).

• Audio: Noise-canceling headset.

• Video: Functional webcam for virtual meetings.

• Workspace: Quiet and professional work environment.

🏝️ Benefits

• **Dedicated HR & Contractor Support Team:** Access to exceptional support for inquiries, 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 enhance long-term client retention.

• **Client-Approved U.S. Holidays:** Contractors may take U.S. holidays off in accordance with the client’s needs and schedule.

• **Client-Approved Paid or Unpaid Time Off:** Time off may be granted by your client, with paid time off being optional and contingent upon client approval.

• **Access to Tools & Resources:** Templates, workflow guides, productivity tools, and client-specific SOP support to help you excel in your role.

• **Optional Performance-Based Incentives:** Some clients may offer bonuses, incentives, or increased hours based on your performance.