Virtual Assistant Insurance Claim Auditor - Remote

Overview

We are seeking a detail-oriented and experienced Virtual Assistant Insurance Claim Auditor to review, audit, and verify insurance claims for accuracy and compliance. This position plays a crucial role in ensuring that all claims are properly documented and processed according to policy and regulatory standards. PLEASE NOTE: ONLY CANDIDATES WITH UPDATED CV AND AN INTRO VIDEO WILL BE PROCESSED.

In Short

• Review insurance claims for accuracy, completeness, and compliance with company policies and payer guidelines.
• Audit medical documentation and billing codes (ICD-10, CPT, HCPCS) to verify proper claim submission.
• Identify errors, inconsistencies, or missing information and follow up for corrections or clarification.
• Communicate with providers, billers, and insurance companies to resolve discrepancies.
• Maintain records of audited claims and generate reports on audit findings.
• Stay updated on industry regulations, payer requirements, and insurance guidelines.
• Collaborate with internal teams (billing, coding, and compliance) to ensure timely and accurate claim processing.

Requirements

• Proven experience in insurance claim auditing, billing, or medical coding.
• Strong knowledge of health insurance policies, procedures, and billing practices.
• Familiarity with EMR/EHR systems and billing software (e.g., Kareo, Practice Fusion, AdvancedMD, etc.).
• Proficient in Microsoft Excel, Google Sheets, and document management tools.
• Exceptional attention to detail and analytical skills.
• Excellent written and verbal communication skills.
• Ability to handle confidential information with discretion.

Benefits

• Flexible working hours.
• Work from home.
• Opportunity to grow in a dynamic field.
• Collaborative team environment.