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, CPT coding, ICD-10-CM, Revenue Cycle Management (RCM), and Denial Management.
Working knowledge of EMR systems.
Fluent in both English and Spanish, with the ability to communicate professionally in both languages.
Strong attention to detail and ability to work independently in a remote environment.
Preferred Qualifications
Experience with Claims Submission, Accounts Receivable (AR), Payment Posting, Medicare, Medicaid, HCPCS coding.
Experience with healthcare billing software, 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 (not required, but a strong plus).
Important Note for Applicants
When applying, please ensure your CV clearly highlights:
Your 3+ years of U.S. medical billing and coding experience, and the specialty or practice setting.
Your hands-on experience with medical billing, medical coding, CPT/ICD-10 coding, RCM, and denial management.
Required / Proficient: Medical billing, Medical coding, CPT coding, ICD-10-CM, Revenue cycle management, Denial management, EMR
Desirable: Accounts receivable, Claims submission, Medicaid Outreach, Medicare, Payment posting, Billing software, Clearing house, Web portals, Healthcare
Screening questions
Do you hold a medical billing/coding certification (CPC, CCS, CPB, CCA, or equivalent)? If so, which one?
In 2–3 sentences, describe your U.S. billing/coding experience: how many years, which specialty or practice setting, and which systems (EHR/EMR/clearinghouse) you've used.
