Bilingual Full-Cycle Medical Biller

<p><strong>★ PLEASE SUBMIT YOUR CV IN ENGLISH ★</strong></p><h1>Bilingual Full-Cycle Medical Biller</h1><p><strong>Location:</strong> Remote — Mexico<br><strong>Employment Type:</strong> Full-Time<br><strong>Industry:</strong> Healthcare / Medical Billing / Revenue Cycle Management<br><strong>Salary: </strong>$1,280 USD/month</p><hr><h1>About the Role</h1><p>We are seeking a highly detail-oriented, organized, and proactive <strong>Bilingual Full-Cycle Medical Biller</strong> to support U.S.-based healthcare providers with medical billing, claims processing, accounts receivable follow-up, and revenue cycle management operations.</p><p>This role is ideal for someone with experience in U.S. healthcare billing workflows who thrives in fast-paced environments, understands medical coding and insurance processes, and can confidently communicate with both patients and insurance providers in English and Spanish.</p><p>The ideal candidate has strong analytical skills, excellent follow-through, and the ability to manage multiple billing and claims processes accurately while maintaining HIPAA compliance and exceptional attention to detail.</p><p>This position plays a critical role in helping healthcare practices improve cash flow, reduce denials, and maintain efficient billing operations.</p><hr><h1>Key Responsibilities</h1><h2>Medical Billing & Claims Processing</h2><ul><li><p>Submit clean claims electronically and via paper</p></li><li><p>Verify insurance eligibility, benefits, and coverage</p></li><li><p>Apply accurate:</p><ul><li><p>CPT codes</p></li><li><p>ICD-10 codes</p></li><li><p>HCPCS codes</p></li></ul></li><li><p>Process claims across multiple specialties and payer types</p></li><li><p>Handle:</p><ul><li><p>Workers’ compensation claims</p></li><li><p>Auto accident claims</p></li><li><p>Out-of-network billing workflows</p></li></ul></li><li><p>Review Explanation of Benefits (EOBs) and resolve claim discrepancies</p></li></ul><hr><h2>Accounts Receivable & Insurance Follow-Up</h2><ul><li><p>Track denied or rejected claims and resubmit corrected claims</p></li><li><p>Follow up with insurance companies regarding unpaid or underpaid claims</p></li><li><p>Appeal claim denials and resolve billing discrepancies</p></li><li><p>Contact patients regarding outstanding balances and payment plans</p></li><li><p>Post payments and reconcile accounts accurately</p></li><li><p>Monitor AR aging and prioritize collection activities</p></li></ul><hr><h2>Compliance & Documentation</h2><ul><li><p>Maintain HIPAA compliance and confidentiality standards</p></li><li><p>Keep detailed records of:</p><ul><li><p>Claims</p></li><li><p>Payments</p></li><li><p>Denials</p></li><li><p>Appeals</p></li><li><p>Patient billing communications</p></li></ul></li><li><p>Stay updated on billing regulations, coding updates, and payer requirements</p></li><li><p>Ensure billing documentation remains accurate and audit-ready</p></li></ul><hr><h1>Requirements</h1><ul><li><p>Fluent in both English and Spanish (spoken and written) — REQUIRED</p></li><li><p>English proficiency level: <strong>C1 or higher required</strong></p></li><li><p>Minimum 1–2 years of experience in:</p><ul><li><p>Medical billing</p></li><li><p>Revenue Cycle Management (RCM)</p></li><li><p>U.S. healthcare administration</p></li></ul></li><li><p>Previous experience supporting U.S.-based medical practices is REQUIRED</p></li><li><p>Strong understanding of:</p><ul><li><p>Insurance claims</p></li><li><p>AR follow-up</p></li><li><p>Medical billing workflows</p></li><li><p>Denial management</p></li><li><p>EOB interpretation</p></li></ul></li><li><p>Proficiency with:</p><ul><li><p>CPT coding</p></li><li><p>ICD-10 coding</p></li><li><p>HCPCS coding</p></li></ul></li><li><p>Experience using medical billing platforms such as:</p><ul><li><p>Kareo</p></li><li><p>eClinicalWorks</p></li><li><p>AdvancedMD</p></li><li><p>DrChrono</p></li><li><p>Similar systems</p></li></ul></li><li><p>Strong organizational and multitasking abilities</p></li><li><p>Excellent written and verbal communication skills</p></li><li><p>Ability to work independently in a remote environment</p></li><li><p>High attention to detail and accountability</p></li></ul><hr><h1>Preferred Qualifications</h1><ul><li><p>Certified Medical Biller or Coder:</p><ul><li><p>CPC</p></li><li><p>CPB</p></li><li><p>Similar certifications</p></li></ul></li><li><p>Experience with:</p><ul><li><p>Prior authorizations</p></li><li><p>Benefits verification</p></li><li><p>Multi-specialty billing</p></li></ul></li><li><p>Familiarity with U.S. healthcare compliance standards and payer workflows</p></li></ul><hr><h1>What We’re Looking For</h1><ul><li><p>Highly organized and detail-oriented professional</p></li><li><p>Strong analytical and problem-solving skills</p></li><li><p>Excellent communication and follow-through abilities</p></li><li><p>Ability to work efficiently in fast-paced healthcare environments</p></li><li><p>Patient-first and service-oriented mindset</p></li><li><p>Someone proactive, reliable, and comfortable managing billing workflows independently</p></li></ul><hr><h1>What Success Looks Like</h1><ul><li><p>Claims are submitted accurately and on time</p></li><li><p>Denials and AR balances are resolved efficiently</p></li><li><p>Billing records remain organized and compliant</p></li><li><p>Insurance follow-ups are proactive and effective</p></li><li><p>Healthcare providers receive strong operational support</p></li><li><p>Revenue cycle processes run smoothly and efficiently</p></li></ul><hr><h1>Why Join Us?</h1><ul><li><p>Fully remote opportunity supporting U.S.-based healthcare clients</p></li><li><p>Long-term growth potential within medical billing and RCM operations</p></li><li><p>Collaborative and supportive remote work environment</p></li><li><p>Exposure to multiple medical specialties and healthcare systems</p></li><li><p>Opportunity to play a direct role in improving healthcare operational efficiency and cash flow</p></li></ul><hr><p><strong>This is a remote/telecommute position.</strong></p>

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