Virtual Medical Billing Coordinator

About the job

At Health & Virtuals, we build structured, reliable support systems for healthcare practices across the United States—placing trained remote professionals into real operational workflows that keep practices running smoothly and financially efficient.

We are currently hiring a Virtual Medical Billing Coordinator—a revenue cycle role responsible for managing claims, posting payments, and resolving denials to ensure clean and consistent billing workflows.

Role Overview

The Virtual Medical Billing Coordinator supports healthcare providers by ensuring that claims are submitted accurately, payments are properly recorded, and denials are resolved efficiently.

This role sits at the intersection of financial accuracy, documentation, and execution—supporting the full billing lifecycle from claim submission to payment reconciliation.

You will manage claims, track payer responses, and ensure that all billing activities are aligned with payer requirements and documentation standards.

What You’ll Be Doing

Claim Submission & Tracking

• Prepare and submit claims through EHR or clearinghouse systems, ensuring completeness and accuracy
• Monitor claim status and confirm receipt and processing with insurance payers
• Correct and resubmit rejected or denied claims, maintaining clear documentation of updates

Payment Posting & Reconciliation

• Post payments, adjustments, and write-offs based on EOBs and ERA files
• Reconcile payments against expected amounts and payer contracts
• Identify discrepancies such as underpayments or overpayments and escalate as needed

Denials & Appeals Management

• Investigate denied claims and determine root causes
• Prepare and submit appeals with supporting documentation
• Track appeal status and ensure timely follow-up and resolution

Communication & Coordination

• Communicate with insurance payers via phone or portals to resolve claim issues
• Coordinate with providers and internal teams when documentation impacts billing
• Escalate unresolved issues to billing leads or management as needed

What We’re Looking For

Core Skills

• Understanding of medical billing workflows and claim lifecycle
• Familiarity with ICD, CPT, or HCPCS coding structures
• Experience working with EHR, clearinghouses, or payer portals
• Ability to manage payment posting and reconciliation tasks
• Awareness of HIPAA and revenue cycle compliance standards

How You Work

• Detail-oriented with a strong focus on financial accuracy
• Organized and structured in managing high-volume billing workflows
• Reliable with consistent follow-through on claims and denials
• Analytical in identifying discrepancies and resolving issues
• Communicates clearly with internal teams and external payers

Baseline Requirements (All Roles)

• Comfortable with digital tools (EHR/CRM and billing systems)
• Proficient in Google Workspace / Microsoft Office
• Familiar with communication tools (Slack, Zoom, Teams)
• Able to manage tasks using structured workflows or trackers
• Strong time management and prioritization skills

These baseline competencies are standardized across all roles to ensure consistent performance and workflow reliability.

Working Hours

• Shift: 8:30 AM – 5:30 PM (EST) | Monday - Friday
• Work Setup: Fully Remote

Additional Notes

• Prior experience in medical billing, revenue cycle management, or claims processing is a plus, not mandatory
• Training and structured onboarding will be provided
• This is a high-accuracy, process-driven role focused on financial workflows, compliance, and consistency

Why This Role Matters

In healthcare operations, billing accuracy and revenue cycle efficiency directly impact financial stability and operational performance.

This role ensures that:

• Claims are submitted correctly and processed without delays
• Payments are accurately recorded and reconciled
• Denials are resolved efficiently to prevent revenue loss

If you’re someone who can manage financial workflows, maintain accuracy under volume, and resolve issues with persistence and clarity, this role is for you.