# Virtual Medical Biller / Accounts Receivable (A/R) Specialist

> Staffing for Doctors · Philippines (Remote) · — · Posted 2026-07-08

**Workplace:** remote

## Description

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.

## Requirements

-   **Ophthalmology Domain Expertise:** Minimum of 2–3 years of specialized medical billing experience specifically within **Ophthalmology or Retina** practices. Ophthalmology surgery billing experience is a major asset.
-   **Payer Fluency:** Solid, practical working knowledge of **Medicare and Medi-Cal** billing guidelines, reimbursement structures, and compliance standards.
-   **Software Literacy:** Hands-on proficiency navigating **DrChrono EMR** is strongly preferred. Strong technical competency with digital clearinghouses and billing analytics tools is required.
-   **Phonetic & Verbal Excellence:** Flawless verbal and written English communication skills. Must be highly articulate and professional when negotiating with insurance adjusters and collaborating with internal staff.
-   **Remote Workspace:** Full-time availability (40 hours per week). Ability to work completely independently from a silent, distraction-free virtual home office.

**Ideal Candidate Profile**

The ideal candidate takes complete ownership of revenue recovery and billing performance. You are proactive, highly analytical, and possess a solution-oriented mindset that allows you to identify recurring denial trends and implement workflow improvements. You are built for a fast-paced specialty environment and pride yourself on keeping an A/R aging ledger exceptionally clean.

## Apply

[Apply at Staffing for Doctors](https://apply.workable.com/staffing-for-doctors/j/2131923373/apply)

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