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

Job description

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.