Bilingual Senior Medical Billing, RCM Specialist – English, Spanish

🔥 4 minutes ago

🇨🇴 Colombia – Remote

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 25%

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🗣️🇪🇸 Spanish Required

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SnappyCX

11 - 50 employees

💼 Consulting

☁️ SaaS

Consulting • SaaS • Customer Support

SnappyCX is a company that provides customizable outsourcing solutions designed to help businesses scale their operations efficiently. Offering a variety of services including IT and software development, customer support, finance and accounting, and virtual assistant solutions, SnappyCX delivers fast and reliable support to companies of all sizes. Their commitment to quality talent acquisition ensures that clients can save on operational costs while maintaining high standards in service delivery.

📋 Description

• 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 • 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 • 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 • Communicate 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

🎯 Requirements

• 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, or CCA is preferred but not required • Experience with aging AR and complex denials is preferred • Experience with appeals and payer disputes is preferred • Experience with payment posting and EOB/ERA reconciliation is preferred • Experience with Medicare and Medicaid billing is preferred • Experience with multiple insurance payers and payer portals is preferred • Experience in primary care, behavioral health/mental health, ophthalmology, dental, specialty clinics, or other U.S. healthcare practices is preferred

🏖️ Benefits

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

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