Bilingual Senior Medical Billing & Coding Specialist (Spanish & English)
Employment Type
Work Arrangement
Hours
Time Zones
About the Role
Bilingual Senior Medical Billing & Coding Specialist
English and Spanish
at least 3 years of direct experience working within a U.S. healthcare practice or medical organization
Primary Care, Behavioral Health, Mental Health, Dental, Ophthalmology, or another U.S. medical practice setting
Key Responsibilities
- Handle day-to-day
U.S. medical billing and coding
activities.
- Prepare, review, and submit accurate claims to
Medicare, Medicaid, and commercial insurance payers
.
- Review patient accounts, medical records, and billing information for accuracy.
- Apply and interpret
CPT, ICD-10, HCPCS, and relevant modifier codes
as applicable to the practice.
- Identify and correct coding or billing errors that may result in claim rejections or denials.
- Manage
denials, rejected claims, appeals, and claim corrections
.
- Perform
Accounts Receivable (AR) follow-up
and monitor outstanding balances.
- Investigate unpaid and underpaid claims and follow up with insurance companies.
- Support the overall
Revenue Cycle Management (RCM)
process from charge entry through payment and account resolution.
- Verify and maintain accurate patient and insurance information.
- Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
- Identify trends in denials, payment issues, and billing discrepancies and recommend corrective actions.
- Communicate professionally with insurance companies, healthcare providers, patients, and internal teams as needed.
- Maintain accurate documentation and follow client-specific billing and compliance procedures.
- Work independently in a remote environment while meeting productivity, accuracy, and turnaround-time expectations.
Required Qualifications
Minimum 3 years of hands-on experience in U.S. healthcare medical billing and coding.
- Direct experience working within a U.S. healthcare practice, clinic, dental practice, behavioral health organization, ophthalmology practice, or similar healthcare setting .
- Strong understanding of the
U.S. healthcare revenue cycle
.
- Hands-on experience with: Medical Billing, Medical Coding, Claims Submission, Denial Management, Accounts Receivable (AR), Payment Posting, Claim Follow-up, Revenue Cycle Management (RCM)
- Experience working with
Medicare, Medicaid, and commercial insurance payers
.
- Strong working knowledge of
CPT codes
and familiarity with ICD-10 and HCPCS coding.
- Ability to identify coding and billing discrepancies and resolve claim-related issues.
•
Fluent in both English and Spanish
, with the ability to communicate professionally in both languages.
- Strong computer skills and ability to learn and navigate healthcare billing systems, EHRs, EMRs, and payer portals.
- Strong attention to detail and accuracy.
- Ability to work independently and manage priorities in a remote environment.
Preferred Qualifications
- Experience with healthcare billing software, EHR/EMR systems, clearinghouses, and payer portals.
- Experience handling complex denials, appeals, and aging AR.
- Medical billing or coding certification such as
CPC, CCS, CPB, CCA, or equivalent
Certification is not required
What We’re Looking For
senior-level, hands-on billing and coding professional
coding, claims, payer processes, denials, AR, and the broader RCM cycle
Important Note for Applicants
When applying, please ensure your CV clearly highlights:
- Your
3+ years of U.S. medical billing and coding experience
.
- The
specific healthcare practices or specialties
you have worked with.
- Your experience with
Medicare, Medicaid, and commercial insurance
.
- Your hands-on experience with
CPT/ICD-10/HCPCS coding
.
- Your experience with
RCM, denials, AR, claims, and payment posting
.
- The healthcare billing systems, EHRs/EMRs, clearinghouses, or payer portals you have used.
- Your
English and Spanish proficiency
.
- Any medical billing or coding certifications you hold.
Candidates whose experience is primarily general healthcare administration without hands-on U.S. medical billing/coding experience may not be considered.
Originally posted on Himalayas
Not included in the source posting: about the role, benefits.
Who can apply
The employer didn't state any visa, work authorization, citizenship or clearance requirements in this posting. Confirm with the employer before applying.
Read automatically from the employer's posting text. Always confirm with the employer — requirements can change after a job is published.