Bilingual Senior Medical Billing Specialist (English & Spanish)

Employment Type:
Independent Contractor | Full-Time & Part-Time
Work Arrangement:
Fully Remote
Hours:
15–40 hours per week
Schedule:
U.S. business hours based on client requirements and agreed availability
Time Zones:
U.S. Eastern, Central, or Pacific Time

About the Role

We are seeking an experienced
Bilingual Senior Medical Billing & RCM Specialist
who is fluent in
English and Spanish
and has strong hands-on experience managing the U.S. healthcare billing and revenue cycle process.
This is a
hands-on senior-level billing role
for a professional who can independently manage billing workflows, claims, denials, accounts receivable, payment issues, and insurance follow-up within a U.S. healthcare environment.
The ideal candidate will have
at least 3 years of direct U.S. healthcare medical billing experience
, preferably within a medical practice, clinic, behavioral health organization, ophthalmology practice, dental practice, or other U.S. healthcare setting.
Candidates should be comfortable working across multiple stages of the revenue cycle and should have practical knowledge of
medical billing, coding, claims management, denial resolution, AR follow-up, and payer processes.

What You'll Do

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
based on the practice's requirements.
Identify and correct billing and coding errors before or after claim submission.
Manage
claim rejections, denials, corrections, appeals, and resubmissions
.
Perform
Accounts Receivable (AR) 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
as required.
Verify patient eligibility, insurance information, and benefits when required.
Work with payer portals, clearinghouses, and billing systems to research and resolve claim issues.
Monitor outstanding AR and take appropriate action to move accounts toward resolution.
Identify recurring billing, coding, denial, or payment issues and communicate trends to the appropriate team.
Communicate professionally 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
.
Required Qualifications
Minimum 3 years of hands-on experience in U.S. medical billing
, preferably in a medical practice, clinic, or healthcare organization.
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 (AR)
Insurance/Payer Follow-up
Revenue Cycle Management (RCM)
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.

Preferred Qualifications

Experience managing
aging AR and complex denials
.
Experience with appeals and payer disputes.
Experience with payment posting and EOB/ERA reconciliation.
Experience with Medicare and Medicaid billing.
Experience working with multiple insurance payers and payer portals.
Experience within specialties such as:
Primary Care
Behavioral Health / Mental Health
Ophthalmology
Dental
Specialty Clinics
Other U.S. healthcare practices
Medical billing or coding certification such as
CPC, CCS, CPB, CCA, or equivalent
.
Certification is preferred but not required. Strong hands-on U.S. billing experience is the priority.
What We Are Looking For
We are looking for
experienced medical billing professionals who can work independently
, not candidates whose experience is limited to general healthcare administration, scheduling, patient coordination, or basic data entry.
Strong candidates should be able to demonstrate experience with the
full or significant portions of the U.S. revenue cycle
, particularly:
Claims → Denials/Rejections → Payer Follow-up → AR → Payment/EOB/ERA Review → Account Resolution
Candidates with strong experience in
denial management, AR follow-up, claims resolution, and payer communication
are especially encouraged to apply.
Required Skills
Medical Billing
Medical Coding
CPT
ICD-10-CM
HCPCS
Revenue Cycle Management (RCM)
Denial Management
Accounts Receivable (AR)
Claims Submission
Insurance/Payer Follow-up
EHR/EMR
Desirable Skills
Payment Posting
Medicare
Medicaid
Appeals
Aging AR
Billing Software
Clearinghouses
Payer Portals
EOB/ERA
Healthcare Billing
Healthcare Practice Experience