Medical Biller

Nicaragua. Mexico. El Salvador. Honduras. Colombia, PST, EST, CSTFull-TimeMiddle

SalaryCompetitive starting rate paid in USD

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Job Details

2+ years of end-to-end medical billing experience.
Extensive experience with insurance verification and prior authorizations.
Hands-on experience with Medicare, Medicaid/Medi-Cal, and California HMO plans.
Strong proficiency in claim submission, ICD-10 and CPT coding, and payment posting.
Experience managing A/R and performing denial handling and follow-ups.
Deep familiarity with U.S. insurance portals like Availity.
Strong understanding of medical necessity requirements.
High school diploma or equivalent.
Bilingual fluency in Spanish and English.
Ability to work in US time zones (PST, EST, CST).
Stable internet connection (25 Mbps+) with backup.
Minimum hardware requirements: Core i5 7th Gen+, 8GB RAM, 256GB storage, and 720p webcam.

Manage the full-cycle medical billing process from claim creation to final payment resolution.
Perform accurate claim submission and generation using ICD-10 and CPT coding.
Handle payment posting, reconciliation, and adjustments.
Monitor and manage Accounts Receivable (A/R) to ensure timely collections.
Conduct denial management and follow-ups, including appeals and resubmissions.
Perform insurance verification and eligibility checks.
Process and manage prior authorizations for procedures and services.
Support front-office operations, including patient intake and insurance-related inquiries.
Ensure compliance with medical necessity documentation and payer requirements.

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