Bilingual Senior Medical Billing, RCM Specialist – English, Spanish
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Job Description
Bilingual senior specialist managing U.S. healthcare billing, denials, AR, and payer follow-up for SnappyCX. Fully remote, serving Medicare, Medicaid, and commercial insurance workflows.
Responsibilities:
- 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
- Identify and correct billing and coding errors
- Manage claim rejections, denials, corrections, appeals, and resubmissions
- Perform accounts receivable 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
- Verify patient eligibility, insurance information, and benefits
- Use payer portals, clearinghouses, and billing systems to research and resolve claim issues
- Monitor outstanding AR and move accounts toward resolution
- Identify recurring billing, coding, denial, or payment issues and communicate trends
- Communicate 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
Requirements:
- Minimum 3 years of hands-on experience in U.S. medical billing
- 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, insurance/payer follow-up, and revenue cycle management
- 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
- Medical billing or coding certification such as CPC, CCS, CPB, or CCA is preferred but not required
- Experience with aging AR and complex denials is preferred
- Experience with appeals and payer disputes is preferred
- Experience with payment posting and EOB/ERA reconciliation is preferred
- Experience with Medicare and Medicaid billing is preferred
- Experience with multiple insurance payers and payer portals is preferred
- Experience in primary care, behavioral health/mental health, ophthalmology, dental, specialty clinics, or other U.S. healthcare practices is preferred
Benefits:
- Fully remote work arrangement
- Full-time and part-time work options
- Schedule of 15–40 hours per week
- U.S. business-hours scheduling based on client requirements and agreed availability
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