Our team has a high bar and a proven process that we use to find the best virtual medical billers for healthcare providers:
Read more about our vetting process: Why Most Global Hiring Fails, And How the Ataraxis Vetting Process Fixes It
George was professional, responsive and a pleasure to work with throughout the hiring process. He took the time to understand my needs and connected me with an excellent candidate. I truly appreciate his support and would highly recommend his recruiting services.
As a psychiatric mental health nurse practitioner running a solo telehealth and in-person practice, I needed a virtual medical assistant who could manage patient scheduling, EHR workflows, and front-office coordination with minimal oversight.
My VA through Ataraxis has been exactly that. She handles new patient intake, manages our scheduling and messaging, and keeps everything running while I focus on patient care. What surprised me most is how she’s become a real thought partner. I’ll ask her to review a conversation or an email and she gives me a straight, honest read. That kind of judgment is hard to find. She’s now taking on more responsibilities as we expand our services, and she told me she’s in it for the long haul.
I only wish I had done this sooner. If you’re a mental health provider considering a HIPAA-compliant virtual assistant, don’t wait.
We’ve had an excellent experience working with Ataraxis and are so impressed. Their virtual assistants are professional, reliable, and highly skilled. The onboarding process was smooth, communication is consistent, and they truly understand how to match the right assistant to the right business needs.
They’ve helped us streamline operations and stay organized without the overhead of hiring in-house. I highly recommend them to any business looking for dependable virtual support.
I made a hire through Ataraxis a few months ago.
As it goes in any hiring process, when you meet the right person, you know immediately. I knew when I met the 5th candidate that she’d be the one.
3 weeks into her job she had a fundamental mastery of her own responsibilities. 2 weeks later, she assumed a whole new set of responsibilities on top of that. And now she’s a fully integrated part of my team.
10/10 will work with Ataraxis again.
We’ve had a really good experience working with Ataraxis. They make it easy to find talented healthcare virtual assistants, who have great attention to detail, at affordable rates. The team is very easy to work with and keeps in touch regularly, checking in to make sure everything is running smoothly and that we’re satisfied with our assistants. Overall, it’s been a smooth, professional experience from start to finish.
George has been a great help throughout this process, which was new to us. His team sourced some great candidates for us to choose from, and we are really happy with our hire. George has also conducted regular check-ins and follow-ups. He is happy to share his personal insights and experience around structuring the job description, onboarding, and getting the best out of this recruitment process. I would definitely recommend George and his business for VA solutions.
George and his team did a fantastic job placing a Talent Sourcer on my team. She’s smart, communicates well, works diligently, and is a self-starter. Bonus points, her background (10 years!) is in an industry directly adjacent to ours. As such, she was able to catch on extremely fast and onboarding her was a breeze. My only gripe is that I wish I had taken this on sooner. Thanks Ataraxis!
George reached out to me on LinkedIn, and while I rarely respond to cold outreach offering services, his approach felt thoughtful and genuine, so I decided to explore what his firm had to offer. We’ve been considering offshore talent for several years but hadn’t made the leap, as we hadn’t found the right offshore partner. Recently, we started working with Ataraxis, and it’s been a fantastic experience—they quickly sourced an exceptional contractor for our recruiting team and ran a smooth, efficient process from start to finish.
Highly Recommend!
I had the absolute pleasure of working with George, and I can confidently say that his expertise and guidance have been game-changing for my business. On our first conversation, George provided clear, actionable strategies tailored to my recruitment challenges. His deep industry knowledge, tested outreach methods, and data-driven approach set him apart.
If you’re a recruiter or business owner looking for expert-level guidance on client acquisition, outreach, and recruitment processes, I highly recommend working with George. His advice is practical, results-driven, and delivered with professionalism and genuine care for your success.
Thank you, George, for your time, insights, and the motivation to push forward with confidence!
I was pretty hesitant about hiring people offshore, but had a fantastic experience working with Ataraxis to hire a virtual recruiter for my business. They connected me with Anabel, who’s based in the Philippines and has been incredible—she’s extremely hard-working, quick to learn, and always brings a great attitude to her work. Now I’m thinking about how I can build a team around her.
The entire process with Ataraxis has been seamless, and they regularly check in to make sure I’m happy with the service they’ve provided. It’s clear they truly care about their clients’ success. I highly recommend Ataraxis to anyone looking to grow their team with quality talent!
But when claims pile up, denials increase, coding errors go unnoticed, or follow-ups slip through the cracks, your cash flow takes the hit.
Even the most experienced providers struggle to keep up with complex billing rules, changing payer requirements, and ongoing insurance updates. One overlooked modifier or coding mistake can delay payments for weeks or cause them to be denied entirely.
Trying to handle billing in-house without dedicated support leads to lost revenue, frustrated staff, and operational slowdowns. A trained Virtual Medical Biller helps you eliminate errors, reduce denials, and keep reimbursements flowing so your practice stays profitable and compliant.
Billing is one piece of a bigger picture. Many practices are outsourcing healthcare administrative and clinical support more broadly to protect margins without adding in-house headcount.
The Situation
Bomi is a growing medical billing company serving mental health and healthcare providers across Illinois. Founded and led by George Ruan (Co-Founder & CEO), Bomi was built to solve a common industry problem: unreliable, unresponsive, and error-prone medical billing support.
As Bomi’s client base grew, from solo providers to group practices, the operational workload quickly became unsustainable for a one-person operation. George was personally handling all billing operations, supporting several clients while a group practice onboarding was about to nearly double claim volume, and processing hundreds of claims per week, including insurance verification, eligibility checks, and claim follow-ups. He wanted to scale without sacrificing quality, responsiveness, or HIPAA compliance, and he wasn’t interested in a generic outsourcing solution. He needed a high-trust, detail-oriented biller with strong communication and ownership, familiarity with US insurance carriers like BCBS, Aetna, and Cigna, and coverage during Central Time working hours, someone he could train and grow with the business.
What Changed
Ataraxis delivered four fully vetted medical billing candidates within two weeks, at $12/hr, each pre-screened for remote-work readiness, attention to detail, healthcare and insurance domain experience, and HIPAA awareness. George interviewed all four and selected Marjorie, a medical biller with a Bachelor of Science in Engineering and five-plus years in U.S. healthcare operations, including experience with Anthem BCBS and Aetna member services. Her background spanned insurance verification, claims processing and investigation, prior authorizations and appeals, and EOB reconciliation, along with hands-on billing and collections work for a U.S. vision care practice. She had previously been recognized as a Top Performer and Top QA Advocate.
In His Own Words
“She’s getting faster, better at the work, and she’s super communicative, which I really enjoy. She’s very motivated to do a good job. All the qualities we talked about in the beginning are really starting to show.”
— George Ruan, Co-Founder & CEO, Bomi
The Outcome
Within weeks, Marjorie became a trusted extension of Bomi’s operations, reducing George’s day-to-day billing workload and increasing his confidence in handling new group practice clients. Responsiveness and follow-through with insurance carriers improved, with a clear upward trend in her speed, accuracy, and autonomy during ramp-up. With billing operations stabilized, George was able to shift his focus to growth strategy, including expanding beyond referrals and planning future hires.
Placed at $12/hr, full-time. Four vetted candidates presented within two weeks.
The Situation
The customer builds an all-in-one EHR platform for adult day centers, PACE programs, and other community-based care providers, with billing, invoicing, and payment processing built directly into the product. As a roughly 30-person, venture-stage startup, the company sits inside its customers’ revenue cycle. When a provider hits a billing question, a claim issue, or a problem with the connected clearinghouse, the company’s own team is who they turn to. They needed their first dedicated medical biller, someone who could handle day-to-day billing across their EHR and clearinghouse, interface directly with customers over Slack and on live calls, and bring real, multi-system billing experience to help sharpen the product’s own billing tools. They wanted multi-year senior-care billing experience, fluency across several EHR systems, and someone who could reason through a real billing problem instead of, in their words, “just reading ChatGPT.”
What Changed
Ataraxis sent four fully vetted candidates the day after the company’s first inbound message. They chose Sam, a bilingual English and Spanish medical biller based in Latin America with more than 11 years of experience across a long list of EHR and EMR platforms. His background included senior-care-adjacent billing, supervising hospice and home health claims, transmission, and reimbursement appeals, along with full revenue-cycle ownership spanning eligibility verification, prior authorization, claims submission, denial resolution, and payment posting across specialties from orthopedics to cardiology. He had also supervised large billing teams and managed relationships across dozens of clinics, giving him the client-facing comfort the role demanded.
The Outcome
Sam became the company’s single, accountable owner for the billing surface its customers touch: day-to-day claims and submissions across the EHR and clearinghouse, live Slack and call support when customers hit billing or clearinghouse issues, revenue-cycle tasks like eligibility verification and denial follow-up, and ongoing product feedback shaped by his multi-system billing background. The role runs full-time on U.S. Eastern hours.
Placed at $12.50/hr, all-in, full-time. Four vetted candidates presented in one day, hired in four.
Hiring a Virtual Medical Biller through Ataraxis gives you experienced, HIPAA-compliant billing support at a fraction of U.S. labor costs. These professionals integrate seamlessly into your practice handling coding reviews, claims submissions, payment posting, denial follow-ups, and reporting so your revenue cycle stays healthy without the overhead of in-office staff.
Offshore staffing through Ataraxis costs a fraction of what a comparable U.S. hire runs once you factor in salary, benefits, payroll tax, and recruiting overhead. There are no upfront fees, no lock-in contracts, and no billing surprises. The numbers below show exactly what you pay and what you save.
174 hrs · $11/hr all-in
87 hrs · $12/hr all-in
vs. $60–97k for a U.S. hire
2–3 vetted candidates
Here’s how virtual medical biller companies like Upwork, Fiverr, OnlineJobs.PH, and Ataraxis compare on key hiring criteria.
Medical Billing Team Lead & Denial Management Specialist | Philippines
$12/hr for full-time ($2,100/month), $13/hr for part-time ($1,200/month) | US hours | Available now
Paul is a Philippines-based Medical Billing professional with 8+ years of dedicated US healthcare revenue cycle experience and fluent professional English developed through years of onshore client-facing billing work. He studied at a Quezon City college and has deep, hands-on command of the US claims lifecycle.
His entire career has been US-billing-focused. Most recently he served as Billing Team Lead for a US laboratory, running daily huddles, auditing claims before submission, tracking denial trends, and reporting directly to the onshore billing manager, followed by a project clearing 2025 A/R backlogs for skin-substitute providers. Earlier roles span ophthalmology and lab billing, with promotion to Subject Matter Expert coaching agents on accuracy. He works fluently across Medicare, Medicaid, HMO, and commercial payers, ICD-10 and CPT coding, CLIA/QW modifier rules, and denial codes like CO-16 and CO-4.
Software: AdvancedMD, insurance web portals, UB04/CMS-1500, Microsoft Excel
Awards: Top Biller and Highest Accuracy Average
Reference (10/10 re-hire): His former Billing Manager called him knowledgeable in denial management, quick to learn, and very easy to train.
Best fit for: Labs, specialty practices, and billing teams needing a US-experienced biller or team lead for claims, denials, and A/R.
Medical Virtual Assistant & Behavioral Health Biller | Philippines
$11/hr for full-time, $12/hr for part-time | US hours | Available now
Sheila is a Philippines-based Medical Virtual Assistant with nearly a decade of US healthcare experience, HIPAA certification, and fluent professional English developed through direct training by American clients at Aetna. She holds a BS in Biology and completed advanced coursework in Medicine and Allied Fields.
She spent six years supporting a US healthcare insurance account, progressing from Healthcare Specialist to Subject Matter Expert to Team Lead managing 17-20 agents, handling medical and behavioral health claims, insurance verification, prior authorizations, CPT/ICD-10 coding, and HIPAA compliance.
Most recently she spent three years at a US mental health telemedicine company, as a Behavioral Health Biller and Patient Coordinator managing claims, pre-certifications, EHR records, and provider scheduling.
EHR/software: SimplePractice, TheraNest, Athenahealth, AdvancedMD, NaviNet, CoverMyMeds, Zendesk, RingCentral, Google Workspace.
References (10/10 and 9/10 re-hire): Two former managers described her as consistently exceeding performance targets and one of the strongest assets on the team.
Best fit for: Mental health practices, behavioral health telehealth platforms, and medical billing teams needing HIPAA-certified, US-trained expertise in insurance verification, claims, and patient coordination.
A Virtual Medical Biller is responsible for processing healthcare claims, ensuring accurate billing, and following up on payments from insurance companies and patients. They help healthcare providers maintain steady cash flow and compliance with medical billing regulations.
A Junior Virtual Medical Biller typically has 0-2 years of experience and assists in processing medical claims, verifying patient information, and ensuring accurate billing. They are proficient in basic medical coding, insurance verification, and data entry.
Ideal for businesses looking for entry-level support in handling routine billing tasks while gaining experience under senior supervision.
With 2-5 years of experience, a Mid-Level Virtual Medical Biller is skilled in managing claims, resolving billing discrepancies, and ensuring compliance with insurance policies and regulations. They are proficient in medical coding (CPT, ICD-10), claim denials, and working with electronic health records (EHR) systems.
Perfect for businesses needing professionals who can independently handle complex billing processes and improve revenue cycle efficiency.
A Senior Virtual Medical Biller brings 5+ years of experience and excels in overseeing medical billing operations, optimizing revenue cycles, and ensuring regulatory compliance. They are experts in medical coding, insurance negotiations, and resolving high-level claim disputes. Senior Medical Billers often train junior staff, implement best practices, and collaborate with healthcare providers to improve billing accuracy.
Ideal for businesses needing an experienced leader to manage and streamline medical billing functions.
Many of our virtual medical billers have graduate degrees, so you’ll have access to high-level expertise, without the price tag.
If you’re still deciding which role fits your practice, browse our healthcare virtual assistant roles by function.
Your ideal Virtual Medical Biller is detail-oriented, compliance-driven, and skilled in navigating insurance requirements. They submit accurate claims, resolve denials quickly, coordinate with payers, support coding accuracy, prepare financial reports, and keep your billing workflow organized.
Hiring the right Virtual Medical Biller strengthens your revenue cycle, reduces administrative burden, and ensures your practice gets paid correctly and on time.
Submit and track insurance claims for medical services rendered.
Generate and send invoices to patients and insurance companies.
Resolve denied claims, process reimbursements, and follow up on outstanding payments.
Ensure adherence to medical coding and billing regulations (e.g., HIPAA, CPT, ICD-10).
Work with healthcare providers, insurance companies, and patients to resolve billing issues.
Record insurance and patient payments, adjustments, and refunds accurately in your billing system.
Monitor aging reports, prioritize overdue accounts, and drive collections.
Confirm insurance coverage and patient responsibilities before services are rendered. If verification volume alone is your bottleneck, our insurance verification specialists are built for that specific workflow.
Assist with verifying correct CPT, ICD-10, and HCPCS codes to increase clean claim rates. For dedicated coding support, our medical coders handle this exclusively.
Identify recurring denial patterns and recommend process improvements.
Handle questions about statements, balances, payment plans, and financial responsibility.
Prepare weekly or monthly reports on collections, denials, reimbursements, and cash flow trends.
Medical billing overlaps with a few other roles we place. Here’s how to tell them apart:
| Role | What They Handle |
|---|---|
|
Focus specifically on assigning accurate CPT, ICD-10, and HCPCS codes before a claim is billed. |
|
|
Confirm coverage and eligibility before a patient is even seen, upstream of billing. |
|
|
Secure payer approval for procedures and treatments before they’re performed, so claims aren’t denied after the fact. |
Many practices start with a Virtual Medical Biller who can cover these tasks, then add a specialist once volume in one area grows.
Reduce claim denials and improve revenue cycle management.
Ensure correct coding and billing to avoid financial losses.
Stay compliant with healthcare billing laws and insurance requirements.
Ataraxis does the heavy lifting by thoroughly screening and vetting virtual assistants before they’re matched with you. This means you won’t waste time sorting through unqualified candidates.
Ataraxis virtual assistants are fluent in English and skilled at communicating professionally, ensuring there’s no miscommunication in your day-to-day tasks.
Unlike many freelancers who may not align with your work hours, Ataraxis virtual assistants are willing (and happy) to work in your time zone, making collaboration seamless.
All Ataraxis VAs are college educated and have specialized experience in various fields, so you can trust them to hit the ground running.
Hiring through Ataraxis gives you access to ongoing support. If your team of virtual assistants needs adjustments, Ataraxis is there to help, unlike freelancer platforms where you’re on your own.
Freelancer platforms often attract short-term gig workers who juggle multiple client projects at the same time. Ataraxis virtual assistants are committed to building lasting partnerships with one employer, becoming a true extension of your team.
When you’re ready to hire a virtual medical biller, the best location depends on the mix of cost, language skills, time-zone overlap, and talent depth your business needs. Here’s a quick tour of the best regions, each with clear advantages and a few trade-offs, to help you decide where to hire a virtual medical biller who fits your workflow.
We created the Global Outsourcing Talent Index, a data-backed audit of all 193 UN-recognized countries scored across five variables: labor cost, English proficiency, talent availability, digital infrastructure, and political stability.
The results were eye opening and are frequently cited by major news sites and industry blogs all over the world.
Pros:
It’s no surprise that many business owners choose to hire a Filipino medical biller. Candidates from this region have strong English proficiency, familiarity with western business culture, and experience working for U.S. clients. 24/7 support is also easy because night-shift work is common.
This region excels in customer service, lead generation, virtual assistance, data entry, bookkeeping, medical billing, and healthcare administrative support.
Cons:
Increasing demand for Filipino medical billers is slowly pushing wages up and internet outages during typhoon season occasionally interrupt service.
*Ataraxis medical billers from this region have power and internet backups to minimize service interruption and are willing to work in your time zone.
Pros:
Near-shore time zones mean you can hire a medical biller who works the same hours as your U.S. team, reducing lag on urgent tasks. Businesses with a large Spanish-speaking customer base may also benefit from hiring bilingual virtual assistants.
This region excels in sales development, business development, digital marketing, customer success, and account management.
Cons:
Hourly rates are much higher and the talent pool is much smaller compared to the Philippines and other regions.
Pros:
Highly educated, English-first workforce with a neutral accent, which is a big plus for phone-based support, especially for U.K. and Australian companies. South Africa overlaps with U.S. mornings and U.K. afternoons, which is ideal for trans-Atlantic operations.
This region excels in virtual assistance, healthcare administrative support, sales development, business development, digital marketing, customer success, content moderation, and account management.
Cons:
Cost of talent sits between Latin America and the Philippines, trimming, but not eliminating, cost savings.
Pros:
Rapidly growing BPO sector that is less competitive compared to the Philippines and Latin America. Top candidates from this region have accents that are almost indistinguishable from U.S. based staff.
This region excels in virtual assistance, executive assistance, software engineering, accounting, data entry, social media management, and business development.
Cons:
Infrastructure and internet reliability still improving outside major hubs.
Pros:
Near-shore location for U.S companies delivers real-time collaboration for East-Coast teams and fluent English support. Very competitive operating costs versus onshore hires.
This region excels in customer service, BPO call centers, healthcare claims, technical support, and help desk support.
Cons:
Smaller population means fewer specialised medical billers, so scaling a large team may be harder. Hourly rates trend closer to Latin American levels given limited supply.
Pros:
Countries in this region are well-known for high education levels and strong work ethic. Arguably, the deepest talent pools for technical roles and has an ideal time zone overlap for European companies.
This region excels in software engineering, quality assurance, DevOps, data analytics, and other technical roles.
Cons:
Costs are much higher than the Philippines, East Africa, and time zone differences may be a bigger obstacle for U.S. companies.
Hiring your first virtual medical biller is perfectly doable on your own, but most business owners underestimate the hours it takes to sift through resumes, schedule calls, and run multiple interview rounds. Research shows that the DIY path typically drags on for weeks (or months), involves several interviews, and can still lead to mis-hires if you rush the vetting stage.
List everything you want your medical biller to own and create detailed instructions. Clarifying scope upfront helps with long term retention and minimizes confusion.
Having a set schedule helps create structure and consistency.
Write a descriptive JD with required experience, KPIs, schedule expectations, etc.
Post your job description to medical biller websites and craft a recruitment message you can use to reach out to candidates directly.
Expect to screen 40-100 candidates to find your ideal virtual assistant.
Give 2-3 finalist candidates a short take-home assignment to test their attention-to-detail, responsiveness, and work product.
A bad hire can cost up to 50% of first-year pay, so doing your due diligence is cheap insurance.
Draft an employment or contractor agreement, include an NDA, and grant tool access.
When you hire a virtual medical biller through Ataraxis, you skip steps 2-7, saving you weeks of lost productivity.
We source top talent globally from regions including the Philippines, Latin America, South Africa, and East Africa, and beyond.
Absolutely. They analyze trends, correct errors before submission, and follow up on denied or pending claims.
Yes. They can manage insurance claims, patient statements, payment posting, and any billing-related communication.
A remote biller can support overflow tasks, assist with aging reports, handle denials, or cover administrative gaps to stabilize your revenue cycle.
Some billers can assist with payer enrollment, CAQH updates, and credentialing follow-ups, depending on your practice’s needs.
If your team is overwhelmed with claims, denials, or payment delays, it’s time to hire a Virtual Medical Biller through Ataraxis. You’ll streamline operations, boost reimbursements, and get back the time needed to support your patients and grow your practice.
Start Hiring a Virtual Medical BillerToday
