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 .

Certif