Position Overview
We are seeking a detail-oriented Billing & Insurance Claims Assistant to support U.S.-based medical practices with end-to-end insurance billing processes. This role is primarily focused on claims management, corrected claims, and appeals, working closely with internal billing teams and insurance providers.
The position is billing-focused and does not involve front desk responsibilities or appointment scheduling. Patient communication is limited to insurance-related matters only.
Current Scope of the Role
The Billing & Insurance Claims Assistant is responsible for managing billing workflows independently after training, following established procedures and coordinating with internal billing leads when necessary.
Key Responsibilities
- Handle the full billing process up to claim submission.
- Prepare and submit corrected claims when errors are identified.
- Manage appeals, including:
- Online submissions
- Manual or mail-based appeals when required
- Communicate with U.S. insurance companies to resolve claim issues, denials, or process changes.
- Communicate with patients only for insurance-related matters (e.g., missing information, coordination with payer requirements).
- Work with multiple insurance companies, adapting to different billing rules and processes.
- Maintain accurate documentation and updates within billing systems and shared records.
- Follow internal workflows and documentation provided by the client and MyVA Support.
What This Role Does NOT Include
- Appointment scheduling
- Front desk or receptionist duties
- Answering inbound calls or general customer service
Skills & Experience Gained in This Role
- Practical experience with diagnostic and CPT billing codes.
- Exposure to 4–5 different U.S. insurance companies and their billing processes.
- Hands-on experience managing claim lifecycle, from submission to resolution.
- Ability to work independently after structured training and shadowing.
Requirements
- Proven experience in U.S. medical billing and insurance claims.
- Hands-on experience with corrected claims and appeals.
- Familiarity with CPT and diagnostic codes.
- Experience communicating with U.S. insurance providers.
- English level: B2 or higher (reading, writing, and speaking).
- Strong attention to detail and ability to work independently after training.
- Comfortable following documented procedures and workflows.
Nice to Have
- Experience working remotely with U.S.-based medical practices.
- Familiarity with EMRs or U.S. billing platforms.
- Willingness to expand responsibilities over time.
Benefits
- 100% Remote
- Weekends OFF
- Stable, long-term opportunity with a growing healthcare support company
- Monthly Bonuses for Attendance and Productivity
Job Type: Full-time
Pay: From S/.2,900.00 per month
Work Location: Remote
