Description review
Bilingual Medical Biller (English & Spanish Proficiency)
SnappyCX · Colombia · back to the listing
HR standards
51/100
needs work
Title ↔ description
79/100
solid
Reads as
Unclear
no confident match
What this role officially is
bookkeeper — ESCO, the EU occupation classification
Bookkeepers record and assemble the day-to-day financial transactions of an organisation or company, consisting usually of sales, purchases, payments and receipts. They ensure all financial transactions are documented in the appropriate (day) book and general ledger, and that they are balanced out. Bookkeepers prepare the recorded books and ledgers with financial transactions for an accountant to then analyse balance sheets and income statements.
Also known as: general bookkeeper, accounting technician, book-keeping clerk, accounts clerk, general-ledger bookkeeper, accounting technicians
How others title the same work
Large employers
- Accounts Payable Clerk (Entry Level Opportunity) Canonical
- Accounts Receivable Clerk Canonical
- Accounts Payable Clerk (Entry Level Opportunity) Canonical Ltd.
- Accounts Receivable Clerk Canonical Ltd.
Startups
- Financial Operations Associate Corgi Insurance
What the listing never says
- 33 bullet points. Long requirement lists deter qualified candidates, who read them as hard gates. Scope clarity
- No pay range published. Candidates cannot tell whether applying is worth their time. Pay transparency
The listing, marked up
Job Overview
The Medical Biller is responsible for managing the end-to-end medical billing process, ensuring accurate claim submission, timely reimbursements, and compliance with U.S. healthcare billing regulations. This role involves working closely with healthcare providers, insurance companies, and internal teams to resolve billing issues, reduce claim denials, and optimize revenue cycle performance.
Key Responsibilities
1. Claims Processing & Submission
• Prepare, review, and submit accurate medical claims (electronic and paper) to insurance companies.
• Ensure proper coding (CPT, ICD-10, HCPCS) and billing compliance before submission.
• Verify patient insurance eligibility and benefits prior to billing.
2. Payment Posting & Reconciliation
• Post payments (insurance and patient) accurately into the system.
• Reconcile payments against claims and identify discrepancies.
• Process adjustments, write-offs, and refunds where necessary.
3. Denials & Follow-Ups
• Monitor unpaid1 claims and follow up with insurance companies for resolution.
• Investigate denied or rejected claims and initiate appeals where applicable.
• Maintain a structured follow-up process to ensure timely reimbursement.
4. Accounts Receivable (AR) Management
• Track and manage aging reports to reduce outstanding balances.
• Prioritize high-value and aging claims for follow-up.
• Collaborate with internal teams to resolve billing issues impacting collections.
5. Compliance & Documentation
• Ensure all billing activities comply with HIPAA and payer-specific guidelines.
• Maintain accurate and up-to-date billing records and patient information.
• Support audits by providing required billing documentation promptly.
6. Reporting & Communication
• Generate regular billing and AR reports for internal review.
• Communicate with patients regarding billing inquiries when necessary.
• Collaborate with providers, coders, and administrative teams to resolve discrepancies.
Education & Experience
• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (preferred).
• Minimum of 3 years of experience in medical billing or revenue cycle management.
• Experience working with U.S. healthcare systems and insurance payers is required.
Technical Skills
• Proficiency in medical billing software (e.g., Kareo, AdvancedMD, Athenahealth, eClinicalWorks).
• Strong knowledge of CPT, ICD-10, and HCPCS coding systems.
• Advanced skills in Microsoft Excel and Google Workspace.
• Experience with clearinghouses and EHR/EMR systems.
Key Competencies
• Attention to Detail: High accuracy in claim preparation and data entry.
• Analytical Skills: Ability to identify trends in denials and billing issues.
• Communication: Strong written and verbal English skills for payer and patient interactions.
• Organization: Ability to manage multiple claims, deadlines, and follow-ups efficiently.
• Problem Solving: Proactive in resolving billing discrepancies and reducing revenue loss.
Operational Requirements
• Stable internet connection (for remote roles).
• Ability to work within U.S. business hours (if required).
• Quiet and professional work environment.
Originally posted on Himalayas
The Medical Biller is responsible for managing the end-to-end medical billing process, ensuring accurate claim submission, timely reimbursements, and compliance with U.S. healthcare billing regulations. This role involves working closely with healthcare providers, insurance companies, and internal teams to resolve billing issues, reduce claim denials, and optimize revenue cycle performance.
Key Responsibilities
1. Claims Processing & Submission
• Prepare, review, and submit accurate medical claims (electronic and paper) to insurance companies.
• Ensure proper coding (CPT, ICD-10, HCPCS) and billing compliance before submission.
• Verify patient insurance eligibility and benefits prior to billing.
2. Payment Posting & Reconciliation
• Post payments (insurance and patient) accurately into the system.
• Reconcile payments against claims and identify discrepancies.
• Process adjustments, write-offs, and refunds where necessary.
3. Denials & Follow-Ups
• Monitor unpaid1 claims and follow up with insurance companies for resolution.
• Investigate denied or rejected claims and initiate appeals where applicable.
• Maintain a structured follow-up process to ensure timely reimbursement.
4. Accounts Receivable (AR) Management
• Track and manage aging reports to reduce outstanding balances.
• Prioritize high-value and aging claims for follow-up.
• Collaborate with internal teams to resolve billing issues impacting collections.
5. Compliance & Documentation
• Ensure all billing activities comply with HIPAA and payer-specific guidelines.
• Maintain accurate and up-to-date billing records and patient information.
• Support audits by providing required billing documentation promptly.
6. Reporting & Communication
• Generate regular billing and AR reports for internal review.
• Communicate with patients regarding billing inquiries when necessary.
• Collaborate with providers, coders, and administrative teams to resolve discrepancies.
Education & Experience
• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (preferred).
• Minimum of 3 years of experience in medical billing or revenue cycle management.
• Experience working with U.S. healthcare systems and insurance payers is required.
Technical Skills
• Proficiency in medical billing software (e.g., Kareo, AdvancedMD, Athenahealth, eClinicalWorks).
• Strong knowledge of CPT, ICD-10, and HCPCS coding systems.
• Advanced skills in Microsoft Excel and Google Workspace.
• Experience with clearinghouses and EHR/EMR systems.
Key Competencies
• Attention to Detail: High accuracy in claim preparation and data entry.
• Analytical Skills: Ability to identify trends in denials and billing issues.
• Communication: Strong written and verbal English skills for payer and patient interactions.
• Organization: Ability to manage multiple claims, deadlines, and follow-ups efficiently.
• Problem Solving: Proactive in resolving billing discrepancies and reducing revenue loss.
Operational Requirements
• Stable internet connection (for remote roles).
• Ability to work within U.S. business hours (if required).
• Quiet and professional work environment.
Originally posted on Himalayas