Bilingual Full-Cycle Medical Biller

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Entrepreneur Cooperative

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2023

🤝 B2B

📚 Education

B2B • Education • Entrepreneurship

Entrepreneur Cooperative is a community organization designed for founders and entrepreneurs looking to navigate business growth and exit strategies. By offering mentorship pairing seasoned entrepreneurs with newcomers, alongside customized educational initiatives, ECo fosters a supportive environment for members at various stages of their entrepreneurial journey. The cooperative model empowers members to shape the organization's direction, focused on mutual success through shared experiences and resources.

📋 Description

• Submit clean claims electronically and via paper • Verify insurance eligibility, benefits, and coverage • Apply accurate: CPT codes, ICD-10 codes, HCPCS codes • Process claims across multiple specialties and payer types • Handle: Workers’ compensation claims, Auto accident claims, Out-of-network billing workflows • Review Explanation of Benefits (EOBs) and resolve claim discrepancies • Track denied or rejected claims and resubmit corrected claims • Follow up with insurance companies regarding unpaid or underpaid claims • Appeal claim denials and resolve billing discrepancies • Contact patients regarding outstanding balances and payment plans • Post payments and reconcile accounts accurately • Monitor AR aging and prioritize collection activities • Maintain HIPAA compliance and confidentiality standards • Keep detailed records of: Claims, Payments, Denials, Appeals, Patient billing communications • Stay updated on billing regulations, coding updates, and payer requirements • Ensure billing documentation remains accurate and audit-ready

🎯 Requirements

• Fluent in both English and Spanish (spoken and written) — REQUIRED • English proficiency level: C1 or higher required • Minimum 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 with: • CPT coding • ICD-10 coding • HCPCS coding • Experience using medical billing platforms such as: • Kareo • eClinicalWorks • AdvancedMD • DrChrono • Similar systems • Strong organizational and multitasking abilities • Excellent written and verbal communication skills • Ability to work independently in a remote environment • High attention to detail and accountability