General Virtual Medical Billing & RCM Specialist
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AI Summary
This is a remote position.
Position Overview
HelpSquad is building a pool of skilled Medical Billing and Revenue Cycle Management (RCM) professionals to support healthcare clients across a variety of practice types and specialties. This role covers the full revenue cycle — from front-end eligibility and authorization through back-end billing, claims management, payment posting, and collections — excluding clinical and patient-facing front desk duties.
We are looking for detail-oriented, experienced RCM professionals who understand the full claims lifecycle, can work independently within billing platforms and EHR systems, and are committed to accuracy, compliance, and timely reimbursement. You will be matched to a specific client account based on your experience, with full paid training provided prior to going live.
Role Details
Company: HelpSquad — U.S.-based, Work-from-Home BPO
Work Type: Variable Hours — 10 to 40 hrs/week depending on account (Remote, Work from Home)
Work Hours: Schedules vary by client assignment; U.S. business hours typical
Industry: Healthcare / Medical Billing / Revenue Cycle Management
Reports To: Account Manager
Key Responsibilities
Responsibilities vary by account and may cover front-end, back-end, or full-cycle RCM duties:
Front-End RCM
Verify patient insurance eligibility and benefits prior to appointments or services.
Obtain and manage prior authorizations and referrals as required by payers.
Review and validate patient demographic and insurance information for accuracy.
Identify and resolve front-end claim issues before submission.
Back-End RCM
Submit clean claims to insurance payers electronically via clearinghouses or direct payer portals.
Monitor claim status and follow up on unpaid, denied, or rejected claims promptly.
Review and interpret Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).
Post payments, adjustments, and denials accurately to patient accounts.
Identify denial trends and work denials through appeals or corrected claim submissions.
Manage accounts receivable (AR) and prioritize follow-up based on payer and aging bucket.
Process patient statements and assist with patient balance resolution as needed.
Perform charge entry and review superbills or encounter forms for accuracy and completeness.
Ensure compliance with payer-specific billing guidelines, HIPAA regulations, and coding standards.
Document all billing activity accurately within the practice management or EHR system.
Collaborate with the U.S.-based clinical and administrative team to resolve account issues.
Requirements
Qualifications
Minimum 2 years of experience in medical billing, RCM, or a related healthcare administrative role.
Working knowledge of the full RCM cycle — from eligibility verification through collections.
Experience with at least one practice management or EHR platform (e.g., AthenaHealth, eClinicalWorks, Kareo/Tebra, Epic, AdvancedMD, or similar).
Familiarity with at least one clearinghouse platform (e.g., Availity, Change Healthcare, Office Ally, Waystar, or similar).
Strong understanding of CPT, ICD-10, and HCPCS coding concepts — coding certification a plus but not required.
Experience working with multiple insurance payers including Medicare, Medicaid, and commercial plans.
Ability to read and interpret EOBs, ERAs, and payer remittance documents accurately.
Strong attention to detail and a high degree of accuracy in data entry and claims management.
Excellent English communication skills — written and verbal.
HIPAA Certification required — will be provided during onboarding at no cost if not already held.
Ability to work independently, manage AR queues, and prioritize workload with minimal supervision.
Experience working with U.S.-based healthcare clients or payers strongly preferred.
Technical & Workspace Requirements
The following are firm requirements and are not subject to exception:
Candidates must provide their own reliable computer and equipment. HelpSquad does not currently provide physical hardware.
Internet speed: Minimum 50 Mbps upload and download (wired connection strongly preferred).
A verified backup internet connection is required — mobile phone hotspots are not acceptable as a backup solution.
Dedicated wireless dongles or secondary ISP connections are acceptable backup options.
Backup power source required (UPS or generator) to maintain connectivity during outages.
Quiet, professional workspace free from background noise and interruptions.
Noise-canceling headset required — billing roles frequently require outbound calls to payers and providers.
Reliable computer with sufficient processing power to run EHR, practice management, and payer portal systems simultaneously.
You must have Windows 11 or the most recent Apple OS / Update
Benefits
Why HelpSquad?
Compensation & Payments
Competitive hourly rate
On-time payments, every time
Payments processed via Wise
Consistent, reliable hours — 10 to 40 hrs/week depending on account
Training & Support
Paid training — your time is valued from day one
Direct client training provided — you are never thrown in blind
HIPAA certification provided at no cost to you
Dedicated Account Manager as your point of contact
Clear escalation paths — you always know who to go to
Work Environment
100% remote — work from home
U.S.-based company with structured operations
Stable, long-term account placements — not gig-style work
Supportive team culture across all accounts
Growth & Experience
Build your U.S. healthcare billing and RCM experience across multiple specialties
Exposure to a variety of payers, platforms, and practice types
Potential for increased hours or additional accounts based on performance
Strengthen your resume with verified, legitimate U.S. client experience
Recognition
Tenure recognition for long-term team members
We value loyalty and recognize those who grow with us
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