Bilingual Senior Medical Billing Specialist, English & Spanish

• Manage day-to-day U.S. medical billing and revenue cycle activities
• Prepare, review, and submit accurate claims to Medicare, Medicaid, and commercial insurance payers
• Review patient accounts, medical records, charges, and insurance information for billing accuracy
• Apply and interpret CPT, ICD-10-CM, HCPCS, and applicable modifiers
• Identify and correct billing and coding errors before or after claim submission
• Manage claim rejections, denials, corrections, appeals, and resubmissions
• Perform accounts receivable follow-up on outstanding and aging claims
• Investigate unpaid, underpaid, and incorrectly processed claims and follow up with insurance payers
• Review EOBs and ERAs and reconcile payments against patient accounts
• Perform or support payment posting and account reconciliation
• Verify patient eligibility, insurance information, and benefits when required
• Use payer portals, clearinghouses, and billing systems to research and resolve claim issues
• Monitor outstanding AR and move accounts toward resolution
• Identify recurring billing, coding, denial, or payment issues and communicate trends to the appropriate team
• Communicate professionally with insurance companies, providers, patients, and internal teams
• Maintain accurate billing documentation and follow client-specific processes and compliance requirements
• Work independently in a remote environment while meeting accuracy, productivity, and turnaround-time expectations

• Minimum 3 years of hands-on experience in U.S. medical billing
• Direct experience supporting the U.S. healthcare revenue cycle
• Hands-on experience with medical billing, medical coding, CPT, ICD-10-CM, HCPCS, claims submission, denial management, accounts receivable, insurance/payer follow-up, and revenue cycle management
• Experience working with U.S. insurance payers, including commercial insurance and/or Medicare/Medicaid
• Working knowledge of EHR/EMR systems, clearinghouses, payer portals, or healthcare billing software
• Fluent in English and Spanish, with the ability to communicate professionally in both languages
• Strong attention to detail and ability to independently manage billing tasks and follow up on outstanding accounts
• Comfortable working remotely and meeting client-specific productivity and quality expectations
• Medical billing or coding certification such as CPC, CCS, CPB, CCA, or equivalent is preferred but not required
• Preferred experience managing aging AR and complex denials
• Preferred experience with appeals and payer disputes
• Preferred experience with payment posting and EOB/ERA reconciliation
• Preferred experience with Medicare and Medicaid billing
• Preferred experience working with multiple insurance payers and payer portals
• Preferred experience in primary care, behavioral health/mental health, ophthalmology, dental, specialty clinics, or other U.S. healthcare practices

• Fully remote work arrangement
• Flexible workload of 15–40 hours per week
• Full-time and part-time work options
• Schedule aligned with U.S. business hours based on client requirements and agreed availability