Bilingual Senior Medical Billing & Coding Specialist (Spanish & English)

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

About the Role

We are seeking an experienced
Bilingual Senior Medical Billing & Coding Specialist
who is fluent in
English and Spanish
and has strong hands-on experience supporting U.S. healthcare practices.
The ideal candidate will have
at least 3 years of direct experience working within a U.S. healthcare practice or medical organization
, with hands-on responsibility for medical billing, coding, Revenue Cycle Management (RCM), Accounts Receivable (AR), claims, and denial management.
We are particularly interested in professionals who have worked directly within a healthcare specialty such as
Primary Care, Behavioral Health, Mental Health, Dental, Ophthalmology, or another U.S. medical practice setting
.
This is a hands-on role for someone who understands the full billing and revenue cycle process—not simply someone with general administrative or healthcare experience.

Key Responsibilities

Handle day-to-day
U.S. medical billing and coding
activities.
Prepare, review, and submit accurate claims to
Medicare, Medicaid, and commercial insurance payers
.
Review patient accounts, medical records, and billing information for accuracy.
Apply and interpret
CPT, ICD-10, HCPCS, and relevant modifier codes
as applicable to the practice.
Identify and correct coding or billing errors that may result in claim rejections or denials.
Manage
denials, rejected claims, appeals, and claim corrections
.
Perform
Accounts Receivable (AR) follow-up
and monitor outstanding balances.
Investigate unpaid and underpaid claims and follow up with insurance companies.
Support the overall
Revenue Cycle Management (RCM)
process from charge entry through payment and account resolution.
Verify and maintain accurate patient and insurance information.
Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
Identify trends in denials, payment issues, and billing discrepancies and recommend corrective actions.
Communicate professionally with insurance companies, healthcare providers, patients, and internal teams as needed.
Maintain accurate documentation and follow client-specific billing and compliance procedures.
Work independently in a remote environment while meeting productivity, accuracy, and turnaround-time expectations.
Required Qualifications
Minimum 3 years of hands-on experience in U.S. healthcare medical billing and coding.
Direct experience working within a
U.S. healthcare practice, clinic, dental practice, behavioral health organization, ophthalmology practice, or similar healthcare setting
.
Strong understanding of the
U.S. healthcare revenue cycle
.
Hands-on experience with: Medical Billing, Medical Coding, Claims Submission, Denial Management, Accounts Receivable (AR), Payment Posting, Claim Follow-up, Revenue Cycle Management (RCM)
Experience working with
Medicare, Medicaid, and commercial insurance payers
.
Strong working knowledge of
CPT codes
and familiarity with ICD-10 and HCPCS coding.
Ability to identify coding and billing discrepancies and resolve claim-related issues.
Fluent in both English and Spanish
, with the ability to communicate professionally in both languages.
Strong computer skills and ability to learn and navigate healthcare billing systems, EHRs, EMRs, and payer portals.
Strong attention to detail and accuracy.
Ability to work independently and manage priorities in a remote environment.

Preferred Qualifications

Experience with healthcare billing software, EHR/EMR systems, clearinghouses, and payer portals.
Experience handling complex denials, appeals, and aging AR.
Medical billing or coding certification such as
CPC, CCS, CPB, CCA, or equivalent
.
Certification is not required
, but relevant medical billing or coding certification is considered a strong plus.
What We’re Looking For
We are looking for a
senior-level, hands-on billing and coding professional
who understands how billing works within an actual U.S. healthcare practice.
Strong candidates should be able to demonstrate practical experience—not just familiarity—with
coding, claims, payer processes, denials, AR, and the broader RCM cycle
.
Experience in a specific clinical practice environment is highly valued, particularly where the candidate understands the billing workflow and payer requirements associated with that specialty.
Important Note for Applicants
When applying, please ensure your CV clearly highlights:
Your
3+ years of U.S. medical billing and coding experience
.
The
specific healthcare practices or specialties
you have worked with.
Your experience with
Medicare, Medicaid, and commercial insurance
.
Your hands-on experience with
CPT/ICD-10/HCPCS coding
.
Your experience with
RCM, denials, AR, claims, and payment posting
.
The healthcare billing systems, EHRs/EMRs, clearinghouses, or payer portals you have used.
Your
English and Spanish proficiency
.
Any medical billing or coding certifications you hold.
Candidates whose experience is primarily general healthcare administration without hands-on U.S. medical billing/coding experience may not be considered.