Bilingual Medical / Dental Biller
New
S
Staffing for DoctorsHealthcare Billing
Colombia. Nicaragua. Peru. Honduras. El Salvador. GuatemalaFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- English and Spanish
- Experience
- 2–3 years
- Required Skills
- EHR
Requirements
- Minimum 2–3 years of dedicated medical or dental billing experience within a U.S. healthcare setting.
- Fluency in navigating and applying standard coding systems including ICD-10-CM, CPT, HCPCS, and CDT.
- Hands-on experience with medical/dental EMR/EHR platforms such as eClinicalWorks, AdvancedMD, ModMed, Open Dental, or Dentrix.
- Experience working with clearinghouses like Change Healthcare or Availity.
- Strong understanding of the revenue cycle, EOB interpretation, coordination of benefits, and deductibles vs. co-insurance rules.
- Complete verbal, reading, and writing mastery of both English and Spanish.
- Secure, dedicated home office meeting HIPAA data privacy requirements.
- Reliable high-speed internet and computer system.
Responsibilities
- Prepare, review, and electronically submit clean medical (CMS-1500) or dental (ADA) claims to clearinghouses and insurance companies.
- Verify that all treatments and diagnoses are matched with the correct, up-to-date codes (ICD-10, CPT, HCPCS, or CDT) to ensure compliance.
- Review clinical documentation prior to submission to ensure all necessary modifiers, clinical notes, and pre-authorizations are attached.
- Track, analyze, and appeal rejected or denied claims promptly using root cause analysis.
- Draft formal appeal letters and submit corrected claims or medical/dental narratives to overturn adverse determinations.
- Monitor and work the insurance aging reports to minimize outstanding balances.
- Follow up with insurance representatives to investigate delayed payments and resolve billing bottlenecks.
- Post insurance payments, contractual adjustments, and patient liabilities from ERAs and EOBs into the practice management system.
- Reconcile daily financial logs to ensure posted payments match deposit records.
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