Medical Claims/AR Specialist - Virtual Assistant

About the Company

The company is an industry-leading organization based in Arizona that helps businesses across multiple industries streamline operations by offloading administrative, creative, and technical tasks to skilled remote professionals. The company partners with talented individuals from around the world, providing meaningful remote career opportunities that empower them to grow personally and professionally. The company is committed to hiring team members who not only meet clients' needs but also align with core values, integrity, and long-term vision of delivering excellence, innovation, and service that drives success for every business supported.

About the Client

The hiring client is a pediatric therapy practice that provides speech and occupational therapy services. Their work centers on child-centered, neuro-affirming care and strong family partnership. They value accuracy, integrity, and clear communication and operate with a highly organized, system-driven workflow. The team emphasizes quality over volume and integrates virtual team members as full contributors through structured systems, documentation, and regular communication. Rather than a traditional clinic model, this practice brings therapy directly to clients in their own homes and communities, removing barriers like travel and rigid scheduling so families can focus on progress. Their approach is trauma-informed, evidence-based, and rooted in helping each person build lasting skills in the environments where they actually live, learn, and grow.

Role Overview

This role is focused on claims management: following up on outstanding claims, processing secondary billing, resolving rejections, and handling appeals for a high-volume practice processing 80-100 claims per day. The ideal candidate is a meticulous, experienced claims/AR professional who can independently research and resolve claim issues with minimal oversight, working alongside the billing lead as a trusted support to the practice. This is an excellent opportunity for a detail-oriented, reliable specialist who takes integrity and accountability seriously and wants to be a dependable contributor to a focused, high-performing team.

Key Responsibilities

• Process and submit claims to insurance
• Follow up on unpaid and outstanding claims, handling a volume of 80-100 claims per day
• Manage secondary billing
• Research and resolve claim rejections
• Review and handle claim appeals
• Resolve billing discrepancies
• Ensure compliance with coding and billing regulations
• Generate billing reports for management
• Update patient files with insurance information
• Liaise with insurance providers (via payer portals) to clarify coverage details
• Track status of pending insurance claims
• Assist with insurance-related queries
• Handle occasional client communication via email and Outlook
• Participate in daily team communication via Slack and weekly office staff meetings

First 90 Days

Success in the first 90 days looks like reducing the practice's billing overwhelm by processing all claims on time, managing billing effectively, and communicating with insurance payers daily. Over the long term, this role is meant to grow into a reliable right hand for the billing function.

Tools You Will Use

Day-to-day work happens across IntakeQ, a custom EMR, and payer portals for claims and follow-ups, with Notion for documentation, Quo and Outlook for communication, Slack for team updates, and Insightful for time tracking. Prior experience with these tools is preferred but not required.

Requirements

• Meticulous, experienced claims/AR professional who can independently research and resolve claim issues with minimal oversight
• Comfortable working a recurring, behind-the-scenes workload with occasional shifts in priority
• Detail-oriented and reliable, with a strong sense of integrity and accountability
• Clear written communicator, comfortable coordinating with insurance payers and internal team members
• Available to work 9am to 6pm Pacific Time, Monday through Friday, fully remote from the Philippines