Virtual Medical Biller / Accounts Receivable (A/R) Specialist
Staffing for Doctors · TELECOMMUTE · Posted Jul 8, 2026
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We are seeking an exceptionally analytical, detailed-oriented, and results-driven Virtual Medical Biller / Accounts Receivable (A/R) Specialist to manage the revenue cycle operations for our premium ophthalmology practice. Operating in a highly specialized clinical field, our brand represents financial integrity, meticulous compliance, and elite operational performance.
This is not a passive data-entry role. We are looking to internalize and elevate our financial operations by adding a dedicated billing professional to improve claim resolution, drastically reduce outstanding accounts receivable, and optimize our revenue cycle alongside an existing outsourced team. The ideal candidate will possess deep, hands-on experience in specialized eye care billing, an authoritative mastery of full Revenue Cycle Management (RCM), and a proactive approach to resolving complex insurance denials.
Core Responsibilities
Accounts Receivable (A/R) & Full Revenue Cycle Management
End-to-End RCM Oversight: Manage the complete medical billing lifecycle from clean claim submission through to final payment allocation, ensuring zero gaps in the financial pipeline.
Aggressive A/R Recovery: Review aging reports, prioritize outstanding balances, and actively follow up with insurance carriers regarding unpaid, underpaid, or delayed claims to consistently optimize cash flow.
Audit & Documentation: Maintain meticulous documentation of all collection efforts, payer communications, and billing files within the clinical ecosystem.
Denials, Appeals & Compliance
Denial Investigation: Deeply investigate denied or rejected claims to pinpoint root causes, correct claim errors, and execute rapid resubmissions.
Appeals Management: Prepare, document, and submit clinical and administrative appeals with solid supporting documentation, monitoring status through to final resolution.
Specialty Coding & Medical Necessity: Review CPT, ICD-10, and modifier usage for total billing accuracy. Ensure all submitted claims strictly meet payer-specific guidelines and satisfy medical necessity criteria.