Remittance Payments & Medical Administrative Assistant in Newcastle

20four7VA is seeking offshore independent contractors to deliver remote services to clients worldwide, with a primary focus on developed markets such as the United States, the United Kingdom, Canada, and Australia. The client is seeking an experienced Medical Administrative Assistant to support the clinic’s insurance, billing, administrative, and medical communication operations.

The ideal candidate will have experience with:

• Medical billing workflows
• Insurance verification
• Claims follow-up
• Remittance processing
• Payment reconciliation
• Patient account administration
• Professional communication with medical practices and referral partners

The successful candidate will be highly organized, detail-oriented, and capable of handling sensitive patient, clinical, insurance, and financial information with professionalism, accuracy, confidentiality, and strict compliance with applicable privacy requirements.

The objective of each engagement is to assist the client in improving business efficiency, enhancing service delivery, or supporting operational functions through high-quality, task-specific services rendered by a qualified contractor.

Scope of Services

Contractors will be required to provide services that align with the following client tasks:

• Insurance Verification and Patient Records
  • Verify patient insurance coverage before appointments.
  • Review and update insurance policy information, including member IDs, group numbers, coverage details, and eligibility information.
  • Confirm copays, deductibles, coinsurance, referral requirements, visit limits, and coverage restrictions when available.
  • Request updated insurance documentation from patients when necessary.
  • Maintain accurate and current patient insurance records within the practice management system.
  • Flag missing, expired, incomplete, or inconsistent insurance information for follow-up.
• Claims Review and Correction
  • Review rejected, denied, incomplete, or unpaid insurance claims.
  • Identify claim issues, including incorrect patient information, authorization errors, coding discrepancies, missing documentation, or payer processing issues.
  • Correct and resubmit claims when appropriate.
  • Document claim corrections, resubmissions, and actions taken.
  • Maintain claim tracking logs and monitor claim status until resolution.
  • Escalate complex billing issues to management when required.
• Remittance Posting and Payment Processing
  • Review remittance advice, Explanation of Benefits, and insurer payment summaries.
  • Accurately post insurance payments and adjustments to patient accounts.
  • Record patient responsibility amounts, including copays, deductibles, coinsurance, and outstanding balances.
  • Identify denied claims, underpayments, overpayments, and payment discrepancies.
  • Ensure timely and accurate remittance posting and account updates.
• Payment Reconciliation and Account Review
  • Reconcile insurance payments against remittance reports and patient accounts.
  • Review outstanding balances and identify account discrepancies.
  • Investigate duplicate payments, missing payments, posting errors, or payer discrepancies.
  • Maintain accurate patient ledgers and account notes.
  • Support month-end reconciliation activities when required.
• Insurance Follow-Up
  • Contact insurance companies or use payer portals to check claim status.
  • Follow up on delayed, denied, partially paid, or unresolved claims.
  • Obtain claim reference numbers and document insurer communications.
  • Track claim progress.