Virtual Medical Billing & Accounts Receivable Specialist
About the role and the company hiring.
Position: Virtual Medical Billing & Accounts Receivable (AR) Specialist
Location: Remote – South Africa
Schedule: Full-time, aligned with U.S. Eastern Time business hours (8AM-5PM EST)
Reports To: Practice Administrator
About the Role
We are seeking an experienced Virtual Medical Billing & AR Specialist to support a busy U.S.-based medical practice. The ideal candidate has hands-on experience with U.S. healthcare billing, patient collections, insurance follow-up, and accounts receivable management. This individual must be detail-oriented, professional when communicating with patients and insurance companies, and able to work independently while meeting productivity goals.
Key Responsibilities
Accounts Receivable (AR)
Manage aging accounts receivable (30, 60, 90, and 120+ day balances).
Research and resolve unpaid or underpaid claims.
Follow up with commercial insurance carriers and government payers.
Review and correct claim denials and rejections.
Submit corrected claims and appeals when appropriate.
Document all account activity accurately within the practice management system.
Patient Collections
Contact patients by phone regarding outstanding balances.
Explain insurance benefits, deductibles, copays, coinsurence, and patient responsibility.
Collect payments by phone in accordance with HIPAA and PCI compliance.
Negotiate payment arrangements when authorized.
Respond professionally to patient billing inquiries and disputes.
Maintain a high level of customer service while collecting outstanding balances.
Insurance Billing
Verify claim status with insurance companies.
Identify coding or billing issues requiring correction.
Work with internal staff to resolve billing discrepancies.
Monitor claim submissions and payment posting accuracy.
Ensure timely filing deadlines are met.
Administrative Duties
Maintain detailed notes on all account activities.
Generate AR and collection reports as requested.
Meet daily productivity and collection targets.
Participate in virtual team meetings.
Assist with other revenue cycle functions as needed.
Required Qualifications
Minimum 2 years of recent experience with U.S. healthcare medical billing and accounts receivable.
Experience calling U.S. insurance companies regarding claim status and denials.
Experience performing patient collections for U.S. medical practices.
Strong understanding of:
CPT and ICD-10 codes
Explanation of Benefits (EOBs)
Deductibles
Coinsurance
Copays
Prior authorizations
Claim denials and appeals
Excellent spoken and written English.
Professional phone etiquette with a neutral, easy-to-understand accent.
Strong organizational and time-management skills.
Ability to work independently with minimal supervision.
High-speed, reliable internet connection.
Quiet, professional home office.
Preferred Qualifications
Dermatology billing experience.
Experience using Modernizing Medicine (ModMed EMA/PM), eClinicalWorks, AdvancedMD, or similar EMR/Practice Management software.
Experience with Athenahealth, Kareo, NextGen, or other U.S. medical billing platforms.
Familiarity with U.S. commercial insurance plans and Medicare
Knowledge of HIPAA compliance.
Performance Expectations
Meet daily outbound call and follow-up goals.
Maintain accurate documentation for every account worked.
Reduce aging accounts receivable.
Achieve collection and productivity benchmarks established by management.
Demonstrate professionalism and excellent customer service during all patient and insurance interactions.
Skills
Medical Billing
Revenue Cycle Management
Accounts Receivable
Insurance Follow-up
Patient Collections
Medical Claims
Denial Management
Customer Service
Attention to Detail
Problem Solving
Time Management
Microsoft Office
Strong Communication
Attention to Detail
At District Dermatology, attention to detail is essential. This job description intentionally contains one small error.
As part of your application, please identify the error in the "Additional Information" field or at the top of your cover letter. Applications that do not identify the error may not be considered.
This is a direct company role. Apply with a short statement and resume. HireSava does not charge applicants or sit in the middle of your application.
How to apply
Hit Apply now. You will be asked for a short application statement, your resume, and answers to any screening questions the employer added for this role.