Billing & Compliance Support Virtual Assistant

This is a remote position.

Rockstar is hiring a full-time Billing & Compliance Support Virtual Assistant on behalf of a pediatric therapy practice offering PT OT and SLP services.

Billing is the biggest pain point this role exists to solve. The practices EMR automates a good amount of billing but claims that dont resolve automatically denials and follow-ups are falling through the cracks and pulling admin staff away from other work. This VA will work claims call insurance companies directly and keep the billing cycle moving without things backing up.

Beyond billing this role owns compliance tracking thats currently slipping: keeping plans of care prescriptions and referrals current so nothing expires unnoticed and pulling business metrics out of the EMR into the practices reporting system on a consistent weekly and monthly basis. This is a proactive detail-first role not one where someone waits to be told what to do. The right person builds the daily list of what needs attention before being asked.

About the Client

This pediatric therapy practice is built around the mission of strengthening communities through expert collaborative therapy helping every family get the support they need to thrive and belong. Their core values center on treating every child with the compassion of family integrating joy and play into learning staying curious to understand each childs unique strengths and holding to ethical evidence-based care.

The practice is growing both in patient volume and provider headcount and is working to build out more consistent systems and processes to support that growth without burning out its admin team.

Key Responsibilities

Billing & Claims (Primary Focus)

• Work claims and follow up on unpaid or denied claims
  
• Call insurance companies directly to resolve billing issues
  
• Review and appeal denied claims as needed
  
• Resolve billing discrepancies and ensure compliance with coding and billing regulations
  
• Generate billing reports for management
  

Compliance & Caseload Tracking

• Monitor the EMRs expiring items dashboard to keep prescriptions and referrals current
  
• Track plans of care prescription and referral due dates so nothing lapses unnoticed
  
• Help therapists stay on top of re-evaluations
  
• Follow up to ensure referrals return after being sent out
  

Reporting & Data Support

• Pull reports out of the EMR
  
• Enter clinician statistics and business metrics into the practices reporting/KPI system on a weekly and monthly basis
  
• Support point-of-care system tasks that therapists dont have time to manage themselves
  

Tools & Systems

• Ocean Friends (EMR)
  
• PedsOMS (KPI/reporting system)
  
• Google Workspace
  
• QuickBooks (light exposure not primary)
  

Prior experience in medical billing or insurance claims follow-up healthcare setting preferred

Comfortable making outbound calls to insurance companies to resolve claim issues

Highly organized and proactive able to build and manage a daily task list independently

Comfortable working within an EMR and pulling/entering data accurately

Reports to and takes direction from the practices Admin Director; strong written communication for email-based coordination

Non-Negotiables

• Strong attention to detail tracking plans of care prescriptions and referral due dates cannot slip
  
• Proactive and self-directed does not wait to be told what to do
  
• Reliable and consistent this role is meant to be a stable dedicated presence the practice can count on
  

Competitive salary commensurate with experience.

Opportunities for professional development and growth.

Work in a dynamic and supportive team environment.

Make a meaningful impact by helping to build and strengthen families across the Globe