Healthcare Virtual Assistant & Claims Specialist - Contract to Hire

Job Description We are seeking a detail-oriented Healthcare Virtual Assistant & Claims Specialist with strong experience in Revenue Cycle Management (RCM) to support our healthcare operations. The ideal candidate will have hands-on experience with claims entry, adjudication, reporting, and data management, and be comfortable working with healthcare claims systems. Key Responsibilities - Perform accurate claims entry and claims adjudication for professional (CMS-1500) claims - Manage end-to-end RCM processes, including claim submission, follow-ups, and resolution - Work within healthcare claims systems - Generate and analyze claims utilization and performance reports - Conduct data entry with a high level of accuracy and attention to detail - Review claims for errors, compliance issues, and missing information prior to submission - Coordinate with billing teams, providers, and payers to resolve claim discrepancies - Maintain organized records and ensure compliance with HIPAA regulations - Provide administrative and virtual assistance support related to billing and claims operations Required Qualifications - Proven experience in Healthcare Revenue Cycle Management (RCM) - Strong background in professional claims entry and adjudication - Experience working with healthcare claims systems - Skilled in claims utilization-based reporting and data analysis - Excellent data entry skills with attention to accuracy and detail - Knowledge of medical billing guidelines, payer rules, and claim workflows - Strong organizational, communication, and time-management skills - Ability to work independently in a remote/virtual environment Preferred Qualifications - Experience supporting multi-specialty practices - Familiarity with payer portals and EDI claim submission - Advanced reporting or Excel skills Apply tot his job