[Hiring] Bilingual Full-Cycle Medical Biller @Entrepreneur Cooperative

Role Description

We are seeking a highly detail-oriented, organized, and proactive Bilingual Full-Cycle Medical Biller to support U.S.-based healthcare providers with medical billing, claims processing, accounts receivable follow-up, and revenue cycle management operations. This role is ideal for someone with experience in U.S. healthcare billing workflows who thrives in fast-paced environments, understands medical coding and insurance processes, and can confidently communicate with both patients and insurance providers in English and Spanish.

The ideal candidate has strong analytical skills, excellent follow-through, and the ability to manage multiple billing and claims processes accurately while maintaining HIPAA compliance and exceptional attention to detail. This position plays a critical role in helping healthcare practices improve cash flow, reduce denials, and maintain efficient billing operations.

Key Responsibilities

• Medical Billing & Claims Processing
  • Submit clean claims electronically and via paper
  • Verify insurance eligibility, benefits, and coverage
  • Apply accurate:
    • CPT codes
    • ICD-10 codes
    • HCPCS codes
  • Process claims across multiple specialties and payer types
  • Handle:
    • Workers’ compensation claims
    • Auto accident claims
    • Out-of-network billing workflows
  • Review Explanation of Benefits (EOBs) and resolve claim discrepancies
• Accounts Receivable & Insurance Follow-Up
  • Track denied or rejected claims and resubmit corrected claims
  • Follow up with insurance companies regarding unpaid or underpaid claims
  • Appeal claim denials and resolve billing discrepancies
  • Contact patients regarding outstanding balances and payment plans
  • Post payments and reconcile accounts accurately
  • Monitor AR aging and prioritize collection activities
• Compliance & Documentation
  • Maintain HIPAA compliance and confidentiality standards
  • Keep detailed records of:
    • Claims
    • Payments
    • Denials
    • Appeals
    • Patient billing communications
  • Stay updated on billing regulations, coding updates, and payer requirements
  • Ensure billing documentation remains accurate and audit-ready

Qualifications

• Fluent in both English and Spanish (spoken and written) — REQUIRED
• English proficiency level: C1 or higher required
• Minimum 1–2 years of experience in:
  • Medical billing
  • Revenue Cycle Management (RCM)
  • U.S. healthcare administration
• Previous experience supporting U.S.-based medical practices is REQUIRED
• Strong understanding of:
  • Insurance claims
  • AR follow-up
  • Medical billing workflows
  • Denial management
  • EOB interpretation
• Proficiency with:
  • CPT coding
  • ICD-10 coding
  • HCPCS coding
• Experience using medical billing platforms such as:
  • Kareo
  • eClinicalWorks
  • AdvancedMD
  • DrChrono
  • Similar systems
• Strong organizational and multitasking abilities
• Excellent written and verbal communication skills
• Ability to work independently in a remote environment
• High attention to detail and accountability

Preferred Qualifications

• Certified Medical Biller or Coder:
  • CPC
  • CPB
  • Similar certifications
• Experience with:
  • Prior authorizations
  • Benefits verification
  • Multi-specialty billing
• Familiarity with U.S. healthcare compliance standards and payer workflows

What We’re Looking For

• Highly organized and detail-oriented professional
• Strong analytical and problem-solving skills
• Excellent communication and follow-through abilities
• Ability to work efficiently in fast-paced healthcare environments
• Patient-first and service-oriented mindset
• Someone proactive, reliable, and comfortable managing billing workflows independently

What Success Looks Like

• Claims are submitted accurately and on time
• Denials and AR balances are resolved efficiently
• Billing records remain organized and compliant
• Insurance follow-ups are proactive and effective
• Healthcare providers receive strong operational support
• Revenue cycle processes run smoothly and efficiently

Why Join Us?

• Fully remote opportunity supporting U.S.-based healthcare clients
• Long-term growth potential within medical billing and RCM operations
• Collaborative and supportive remote work environment
• Exposure to multiple medical specialties and healthcare systems
• Opportunity to play a direct role in improving healthcare operational efficiency and cash flow