Bilingual Full-Cycle Medical Biller

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

📋 Description

• Submit clean claims through electronic channels and traditional paper methods.

• Verify patients' insurance eligibility, benefits, and coverage details.

• Accurately apply CPT codes, ICD-10 codes, and HCPCS codes.

• Process claims across various specialties and payer types.

• Manage Workers’ compensation claims, Auto accident claims, and Out-of-network billing processes.

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

• Track denied or rejected claims and resubmit with corrections.

• Follow up with insurance companies about unpaid or underpaid claims.

• Appeal claim denials and resolve any billing discrepancies.

• Communicate with patients regarding outstanding balances and payment arrangements.

• Accurately post payments and reconcile accounts.

• Monitor accounts receivable aging and prioritize collection efforts.

• Ensure compliance with HIPAA regulations and maintain confidentiality standards.

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

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

• Ensure billing documentation is accurate and ready for audits.

⛳️ Requirements

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

• English proficiency level must be C1 or higher.

• At least 1–2 years of experience in Medical billing, Revenue Cycle Management (RCM), or U.S. healthcare administration.

• Prior experience supporting U.S.-based medical practices is REQUIRED.

• Strong knowledge of Insurance claims, AR follow-up, Medical billing workflows, Denial management, and EOB interpretation.

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

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

• Strong organizational skills and the ability to multitask effectively.

• Excellent written and verbal communication abilities.

• Capability to work independently in a remote setting.

• High attention to detail and a strong sense of accountability.

🏝️ Benefits

• Fully remote position.

• Opportunities for long-term growth.

• A collaborative and supportive remote work environment.

• Exposure to a variety of medical specialties and healthcare systems.

• Chance to have a direct impact on improving healthcare operational efficiency and cash flow.