Virtual Medical Biller - Office Ally EMR

Working Environment & Core Schedule

* Role Title: Virtual Medical Biller
* Status: Full-Time (40 Hours / Week)
* Schedule: Monday – Friday, 8:00 AM – 5:00 PM PST (Pacific Standard Time)
* Core Systems: Office Ally EMR & Practice Management, Clearinghouse Portals, Practice VoIP Phone System
* Primary Scope: Medical Billing, Claims Submission, Payment Follow-Up, Denial Management, and Accounts Receivable (AR) Support

Top 3 Daily Tasks

1. Claims Submission & Processing: Batch, scrub, and submit primary and secondary claims electronically via Office Ally EMR, ensuring accurate ICD-10/CPT coding and demographic entry.
2. Payment Follow-Up & AR Management: Monitor unpaid, pending, and rejected claims; contact insurance payors to resolve billing bottlenecks and accelerate reimbursement.
3. Billing Support & Account Resolution: Post payments, resolve claim denials, issue clean resubmissions, and address general billing inquiries.

Core Responsibilities

* Manage daily claims submission and clearinghouse edits within Office Ally.
* Conduct systematic Accounts Receivable (AR) follow-up on outstanding insurance claims.
* Identify root causes for claim rejections and denials; process appeals and corrections promptly.
* Maintain clean documentation of payment postings, adjustment codes, and payor communications.
* Communicate effectively with insurance representatives, clinical teams, and patients regarding billing statuses.

Requirements

* Medical Billing Experience: Proven experience in U.S. medical billing, claims processing, payment posting, and denial management.
* Office Ally EMR Literacy: Direct hands-on experience navigating Office Ally EMR and clearinghouse platforms.
* Fluent English Communication: Excellent written and verbal English skills to communicate professionally with payor representatives and internal staff.
* Schedule Availability: Full availability to work 40 hours per week during Monday through Friday, 8:00 AM – 5:00 PM PST.
* HIPAA WFH Setup: Dedicated, private home office with a lockable door, high-speed primary internet, backup power/internet solutions, PC/Mac, and a noise-canceling headset.

Ideal Candidate Profile

You are a meticulous, self-motivated medical biller who knows Office Ally inside out. You take pride in keeping AR aging low, resolving claim rejections quickly, and maintaining clean financial records for the practice.