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Entrepreneur Cooperative

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Bilingual Full-Cycle Medical Biller

BilingualBilingualFull TimeRemoteMid LevelTeam 11-50Since 2023H1B No SponsorCompany SiteLinkedIn

Location

Dominican Republic

Posted

11 days ago

Salary

$1.3K / month

Seniority

Mid Level

High School2 yrs expEnglishSpanish

Job Description

Bilingual Full-Cycle Medical Biller

Entrepreneur Cooperative

• 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.

Job 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.

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