Bilingual Full-Cycle Medical Biller

This is a fully remote position, open to applicants in Brazil.

📋 Description

• Submit accurate claims both electronically and on paper.

• Confirm insurance eligibility, benefits, and coverage details.

• Apply the correct CPT codes, ICD-10 codes, and HCPCS codes.

• Process claims for various specialties and different payer types.

• Manage Workers' compensation claims, auto accident claims, and out-of-network billing processes.

• Review Explanations of Benefits (EOBs) and address any claim discrepancies.

• Monitor denied or rejected claims and resubmit corrected versions.

• Follow up with insurance providers regarding unpaid or underpaid claims.

• Appeal claim denials and rectify billing discrepancies.

• Contact patients about outstanding balances and payment arrangements.

• Accurately post payments and reconcile accounts.

• Track accounts receivable aging and prioritize collection efforts.

• Maintain compliance with HIPAA regulations and confidentiality standards.

• Keep comprehensive records of claims, payments, denials, appeals, and patient billing communications.

• Stay informed on billing regulations, coding changes, and payer requirements.

• Ensure that billing documentation is precise and prepared for audits.

⛳️ Requirements

• Proficient in both English and Spanish (spoken and written) — REQUIRED.

• Must have an English proficiency level of C1 or higher.

• At least 1–2 years of experience in medical billing, revenue cycle management (RCM), or U.S. healthcare administration.

• Previous experience supporting medical practices based in the U.S. is REQUIRED.

• Strong knowledge of insurance claims, accounts receivable follow-up, medical billing workflows, denial management, and EOB interpretation.

• Skilled in CPT coding, ICD-10 coding, and HCPCS coding.

• Experience with medical billing platforms such as Kareo, eClinicalWorks, AdvancedMD, DrChrono, or similar systems.

• Excellent organizational and multitasking skills.

• Exceptional written and verbal communication abilities.

• Capability to work independently in a remote setting.

• High level of attention to detail and accountability.

🏝️ Benefits

• Competitive salary with performance-based incentives.

• Flexible work hours and remote working options.

• Opportunities for professional development and training.

• Comprehensive health, dental, and vision insurance.

• Paid time off and holidays.