Virtual Medical Biller – Billing Support Specialist

Staffing For Doctors

. Verify patient insurance coverage and determine prior authorization requirements .

Posted 10/8/2026full-timeRemote • PhilippinesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in U.S. medical billing processes, including verification, prior authorizations, and claims management, while ensuring HIPAA compliance and maintaining accurate billing records. Proficient in eClinicalWorks for billing and A/R management, with a strong focus on detail and independent work.

Highest-signal resume keywords

3+ Years Medical Billing ExperienceCPT, ICD-10, HCPCS MasteryEClinicalWorks ProficiencyHIPAA Compliance KnowledgeDenial Management Expertise

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingPrior AuthorizationClaims SubmissionA/R ManagementEOB/ERA ReviewCoding CorrectionsDenial AppealsInsurance VerificationClaim ScrubbingFinancial Record Maintenance

Soft Skills

Attention to DetailProactive Follow-ThroughIndependent WorkExcellent Communication

Tools & Technologies

EClinicalWorksCommercial Payor Portals

Industry Keywords

HIPAA RegulationsOrthopedic Medical BillingSurgical AuthorizationDiagnostic Authorization

About the role

Key responsibilities & impact

Verify patient insurance coverage and determine prior authorization requirements
Compile clinical documentation, submit authorization requests, and follow up through final approval
Manage authorization numbers and validity dates in eClinicalWorks before patient encounters
Work A/R aging reports and contact commercial and government payors regarding unpaid, underpaid, denied, or stalled claims
Post insurance ERAs/EOBs and patient payments, including line-item payments, contractual adjustments, and deductibles
Scrub and submit primary and secondary claims
Audit clearinghouse and payor rejections and make coding or demographic corrections for clean-claim resubmissions
Draft denial appeals and corrected claims
Resolve outstanding balances and maintain clean billing records in eClinicalWorks
Maintain HIPAA compliance and protect patient financial records

Requirements

What you’ll need

3+ years of direct U.S. medical billing experience spanning verification, prior auths, A/R, posting, and claims
Mastery of CPT, ICD-10, HCPCS codes, modifier applications, and medical terminology
Strong proficiency in reviewing EOBs/ERAs, working denials, and navigating commercial payor portals
Exceptional attention to detail, proactive follow-through, and ability to work independently with minimal supervision
Excellent written/spoken English and comprehensive knowledge of HIPAA regulations
Private, HIPAA-compliant office setup with a high-performance computer, primary high-speed internet, backup power/internet, and a headset
Recent hands-on experience in eClinicalWorks (eCW) billing, eligibility, authorizations, posting, and A/R modules strongly preferred
Direct orthopedic medical billing and surgical/diagnostic authorization experience strongly preferred