# Medical Billing & Accounts Receivable (AR) Follow-Up VA (EHR: Therapy Notes) > Winning Assistants · Philippines (Remote) · Part-time · Posted 2026-08-29 **Salary:** USD 10,400–12,480 **Workplace:** remote ## Description ### Medical Billing & Accounts Receivable (AR) Follow-Up Virtual Assistant (EHR: Therapy Notes) **Industry: Behavioral Health / Mental Health & Counseling Services Employment Type: Part-Time Working Days: Monday – Friday Schedule: 10:00 AM – 2:00 PM Central Time (CST) Compensation: $5.00 – $7.00 per hour, depending on experience Potential Growth: Opportunity to increase hours as the practice's needs grow** ### About the Practice Our client is an established behavioral health practice providing mental health and counseling services to its patient community. The practice is supported by a small team of dedicated therapists and is looking for an experienced **Medical Billing & AR Follow-Up Virtual Assistant** who can take ownership of critical billing and insurance follow-up responsibilities. The immediate priority is addressing a backlog of rejected and outstanding claims, improving reimbursement turnaround times, and creating a more organized billing follow-up process. This position is ideal for someone who is highly experienced with **TherapyNotes**, understands behavioral health insurance billing, and is comfortable independently investigating and resolving claim issues. ### Role Overview The Medical Billing & AR Follow-Up Virtual Assistant will primarily focus on **billing catch-up, rejected claim resolution, AR follow-up, EOB review, and insurance claim status inquiries.** The selected VA will work directly within **TherapyNotes** and communicate with insurance companies to identify why claims have been rejected, determine the appropriate corrective action, and help move outstanding claims toward successful reimbursement. There are currently approximately **50 rejected claims requiring attention**, making strong billing experience, urgency, accuracy, and follow-through especially important. As billing operations stabilize, the VA may also assist with administrative reporting, compliance renewals, credentialing, and other practice support responsibilities. ### Primary Responsibilities ### Medical Billing & AR Follow-Up - Take ownership of the current billing backlog and systematically work through outstanding and rejected claims. - Review rejected or unpaid claims within **TherapyNotes** and determine the reason for rejection, denial, or delayed payment. - Correct billing discrepancies and resubmit claims when appropriate. - Prioritize time-sensitive claims to help prevent missed filing and reimbursement deadlines. - Perform consistent **Accounts Receivable (AR)** follow-up on outstanding insurance balances. - Contact insurance companies to obtain claim status updates and determine additional documentation or corrective action required. - Follow up persistently on unresolved claims until an appropriate resolution or next action is established. - Document claim status, payer responses, corrective actions, and follow-up requirements accurately. ### EOB & Insurance Follow-Up - Access, review, and interpret **Explanation of Benefits (EOBs).** - Investigate insurance rejections, denials, payment discrepancies, and other billing issues. - Communicate directly with insurance representatives regarding outstanding or problematic claims. - Identify patterns or recurring billing issues that may be contributing to claim rejections. - Assist with resolving insurance billing disputes and reimbursement discrepancies. - Maintain accurate documentation of insurance communications and follow-up activities. - Support billing issues involving commercial insurance and Medicaid plans, including Blue Cross/Blue Cross Medicaid. ### Billing Recovery & Process Improvement - Help the practice establish a clear and organized process for tracking rejected and outstanding claims. - Proactively identify claims requiring immediate attention based on filing limits or reimbursement deadlines. - Flag complicated billing or recoupment issues for appropriate escalation. - Provide clear updates regarding recovered claims, unresolved balances, and outstanding action items. - Look for opportunities to reduce future claim rejections through improved billing accuracy and follow-up processes. ### Administrative & Compliance Support Once immediate billing priorities are under control, responsibilities may include: - Manage a secondary email account used to receive employee reports related to the practice's DCFS contract. - Coordinate **monthly DCFS reports** and remind staff members to submit required information on time. - Assist with administrative email organization and follow-up. - Support government and organizational compliance requirements, including **SAM renewals.** - Track credentialing and other time-sensitive renewal requirements. - Potentially assist with **insurance panel credentialing and re-credentialing**. - Answer or assist with phone calls when needed. - Support additional administrative projects as assigned. ## Requirements ### Required Qualifications - **Hands-on experience using TherapyNotes for billing is REQUIRED.** - **Medical insurance billing and claims processing experience is REQUIRED.** - Strong experience with **AR follow-up, rejected claims, denials, EOBs, and insurance follow-up.** - Ability to independently investigate claim issues and determine appropriate next steps. - Strong understanding of the insurance reimbursement lifecycle. - Experience communicating with insurance companies regarding claim status, rejections, denials, and billing discrepancies. - Strong attention to detail, particularly when reviewing claim information and identifying billing errors. - Comfortable handling billing disputes and complicated insurance-related issues. - Knowledge of **HIPAA requirements** and ability to maintain strict confidentiality when handling patient and practice information. - Strong written and verbal English communication skills. - Ability to work independently and manage multiple outstanding claims and follow-up deadlines. ### Preferred Qualifications - Previous experience supporting a **behavioral health, mental health, counseling, psychology, or psychiatric practice**. - Experience working with Medicaid and commercial insurance plans. - Experience handling Blue Cross/Blue Cross Medicaid claims is highly desirable. - Previous insurance **credentialing or recredentialing experience** is a plus. - Familiarity with government compliance processes such as SAM renewals is an advantage. - Experience supporting small healthcare practices where initiative and independent problem-solving are essential. ### Software & Tools Candidates should be comfortable working with: - **TherapyNotes – REQUIRED (Billing & EHR)** - Email platforms - Phone/VoIP systems - Slack - Salesforce - WhatsApp - Skype - Zoom - Google Meet - Other messaging, CRM, and communication platforms as required ### Ideal Candidate We are looking for someone who goes beyond simply checking claim statuses. The ideal candidate understands **how to investigate a billing problem, identify what is preventing payment, determine the next action, and consistently follow through until the issue is resolved.** The successful candidate should be: - **Proactive and resourceful** – Takes initiative to investigate problems rather than waiting for step-by-step instructions. - **Experienced and confident in billing** – Can clearly explain their experience with claims, rejections, EOBs, AR follow-up, and insurance resolution. - **Highly detail-oriented** – Carefully reviews claims and documentation to identify discrepancies that could delay reimbursement. - **Persistent with follow-up** – Understands that successful AR management often requires repeated insurance follow-up and careful documentation. - **Clear communicator** – Provides concise updates and communicates professionally with the practice, insurance companies, and other stakeholders. - **Accountable and organized** – Keeps track of outstanding claims, deadlines, follow-up dates, reports, and administrative requirements. - **Solutions-oriented** – Focuses on resolving problems and improving processes rather than simply reporting that an issue exists. - **Relationship-focused** – Values open communication, trust, transparency, and collaboration with the practice owner. - **Committed long-term** – Interested in becoming a dependable member of the practice rather than viewing the role as a short-term assignment. ### Immediate Priorities During the initial phase of the role, the VA will focus heavily on: 1. **Billing Catch-Up & Rejected Claims Resolution** – Work through the existing backlog of approximately 50 rejected claims and prioritize claims affected by time-sensitive reimbursement windows. 2. **AR, EOB & Insurance Follow-Up** – Investigate unpaid or rejected claims, review EOBs, communicate with insurance companies, and consistently follow up toward resolution. 3. **TherapyNotes Billing Management** – Work confidently within TherapyNotes to review billing information, identify rejection causes, make necessary corrections, and support claim resubmission. 4. **Billing Organization & Tracking** – Establish an organized system for documenting claim statuses, follow-up dates, payer responses, outstanding requirements, and next actions. 5. **General Administrative Support** – Once urgent billing responsibilities are stabilized, assist with email management, monthly DCFS reporting, compliance renewals, credentialing support, and occasional phone coverage. ### What Success Looks Like Success in this position means helping TP Counseling Center reduce its billing backlog, recover outstanding insurance reimbursements, improve visibility into Accounts Receivable, and establish a reliable billing follow-up process. The right VA will bring **strong TherapyNotes expertise, hands-on insurance billing knowledge, persistence, accountability, and a proactive mindset.** As the practice's billing and cash flow stabilize, there may be an opportunity for the role to expand from part-time into additional hours and responsibilities. ### Basic Requirements - Must speak and write English clearly and professionally. - Must have relevant work experience. - Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). - Must be available to attend video meetings with camera on when required. ### Technical Requirements - Computer: Reliable laptop or desktop computer. - Internet: Stable high-speed internet connection (minimum 25 Mbps). - Audio: Noise-canceling headset. - Video: Working webcam for virtual meetings. - Workspace: Quiet and professional work environment. ## Benefits - **Dedicated HR & Contractor Support Team:** Access to world-class support for questions, guidance, contract matters, and client communication. - **Premium VPN Access (Optional):** A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - **HIPAA & Cybersecurity Training + Certification (Provided):** Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - **Top 1% VA Performance Training:** Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - **Client-Approved U.S. Holidays:** Contractors may take U.S. holidays off according to the client’s needs and schedule. - **Client-Approved Paid or Unpaid Time Off:** Time off may be granted by your client. Paid time off is optional and only if offered by the client. - **Access to Tools & Resources:** Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - **Optional Performance-Based Incentives:** Some clients may offer bonuses, incentives, or increased hours based on your performance. These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits. ## Apply [Apply at Winning Assistants](https://apply.workable.com/winning-assistants/j/FA84F94993/apply) --- Powered by [Workable](https://www.workable.com)