# Medical Billing Exceptions Virtual Assistant

> Staffing for Doctors · Philippines (Remote) · — · Posted 2026-08-27

**Workplace:** remote

## Description

**Role Title:** Insurance Billing Exceptions Specialist (Prompt EMR)

**Department:** Revenue Cycle Management (RCM)

**Role Type:** Full-Time / Dedicated Administrative Support

**Position Overview**

The **Insurance Billing Exceptions Specialist** serves as the primary owner of all manual revenue cycle interventions within the **Prompt EMR** environment. While automated features (Prompt Plus) handle standard billing workflows—such as clean claim submissions, automated eligibility checks, OCR intake, auto-posting, waitlist management, and routine patient reminders—this role steps in to manage any workflow requiring human oversight, clinical/billing logic, and active resolution.

The specialist is responsible for troubleshooting and resolving billing exceptions, including claim denials, clearinghouse rejections, authorization flags, dirty ERA/EOB remits, underpayments, secondary claim issues, and system-flagged tasks. Working as the primary RCM link between payers, patients, and the clinic team, the ideal candidate must deliver clear, professional English communication, possess a strong understanding of US medical billing practices, and ensure maximum revenue recovery while escalating only high-level policy or decision-based items to the in-office Admin Support Manager.

## Requirements

**Core responsibilities**

• Work Prompt billing buckets daily: In Review, Hold, Denied/Rejected, Patient Balance, unreconciled remits

• Review AI/auto-post results and correct what the system flagged (partial denials, less-than-set-pay, missing secondary,

requires auth, credentialing hold)

• Add/manage authorizations and scripts on cases; monitor unit-based and visit-limit auths

• Use Prompt eligibility / enhanced benefits verification dashboards; resolve failed or yellow/red eligibility

• Post or correct ERAs when auto-post cannot finish; reconcile remits

• Prepare and send appeals packets; document Last Action

• Use tags, tasks, and notes so the owner and Admin Support Manager can audit in minutes

• Communicate with patients on balances, statements, and benefit questions in a calm, Medicare-friendly tone for those are

older.

• Protect PHI. Unique Prompt login. No shared credentials. HIPAA at all times

• Other duties as assigned

**Required qualifications**

• **Prompt EMR / Prompt Plus experience is required**

Hands-on billing in Prompt with **AI / automation features** used in production: auto-post remittances, eligibility tracking,

benefits verification, authorization-related claim tags, OCR/intake if used

• Fluent English (spoken and written)

• Excellent phone and written communication with older adults, payers, and clinic staff

• Can explain a denial, a patient responsibility, or a next step without jargon

• Comfortable working exception queues and AI Automation oversight (not “I do every claim by hand”)

• Reliable remote setup: private workspace, stable internet, headset, ability to use Weave

**Strongly preferred**

• Therapy / PT / OT / SLP out of network outpatient billing

• Medicare Part B, Medicare Advantage, Florida commercial payers

• Availity familiarity (verification workflows)

• Experience documenting work so a supervisor can spot-check in 10–15 minutes/day

## Apply

[Apply at Staffing for Doctors](https://apply.workable.com/staffing-for-doctors/j/9F11692FE7/apply)

---
Powered by [Workable](https://www.workable.com)