Bilingual Full-Cycle Medical Biller

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

📋 Description

• Submit clean claims electronically and in paper format.

• Verify eligibility, benefits, and coverage for insurance.

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

• Process claims for various specialties and payer types.

• Manage workers’ compensation claims, auto accident claims, and out-of-network billing workflows.

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

• Monitor denied or rejected claims and resubmit corrected versions.

• Follow up with insurance companies regarding any unpaid or underpaid claims.

• Appeal claim denials and rectify billing discrepancies.

• Communicate with patients regarding outstanding balances and payment arrangements.

• Accurately post payments and reconcile accounts.

• Oversee AR aging and prioritize collection efforts.

• Ensure compliance with HIPAA and maintain confidentiality standards.

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

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

• Maintain accuracy in billing documentation to ensure it is audit-ready.

⛳️ Requirements

• Fluency in both English and Spanish (spoken and written) is REQUIRED.

• A minimum English proficiency level of C1 or higher is required.

• At least 1–2 years of experience in:

• Medical billing.

• Revenue Cycle Management (RCM).

• U.S. healthcare administration.

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

• Strong understanding of:

• Insurance claims.

• AR follow-up.

• Medical billing workflows.

• Denial management.

• EOB interpretation.

• Proficiency in:

• CPT coding.

• ICD-10 coding.

• HCPCS coding.

• Experience with medical billing platforms such as:

• Kareo.

• eClinicalWorks.

• AdvancedMD.

• DrChrono.

• Similar systems.

• Strong organizational and multitasking skills.

• Excellent written and verbal communication abilities.

• Capability to work independently in a remote setting.

• High attention to detail and accountability.

🏝️ Benefits

• Comprehensive health benefits package.

• Opportunities for professional development and training.

• Flexible work schedule.

• Supportive work environment.