Bilingual Billing Specialist

Job Summary:

We are seeking an detail-oriented Billing Specialist to manage front-end eligibility verification, claims lifecycle management, provider credentialing, and daily operations reporting. In this role, you will enforce strict verification timelines, ensure compliance within our EHR system, and optimize practice cash flow through seamless claims resolution.

Key Responsibilities:

• Insurance Eligibility & Verification: Conduct thorough eligibility, benefits, and network participation checks at least 7 days prior to all scheduled patient appointments to prevent coverage gaps and billing delays.

• Compliance & EHR Documentation: Maintain strict verification compliance by logging completion dates and status notes directly into patient chart sticky notes in accordance with operational protocol.

• End-to-End Claims Management: Oversee full-lifecycle medical claims processing, including initial submission, clearinghouse monitoring, denial tracking, and resolution of rejected claims.

• Operational Reporting & Tracking: Reconcile and continuously update the daily appointment report spreadsheet to ensure scheduling accuracy and front-desk alignment.

• Provider Credentialing & Enrollment: Facilitate provider insurance enrollment, CAQH profile maintenance, and re-credentialing with commercial and government health plans to support continuous billing eligibility.

Qualifications & Experience:

• Experience: 2–4 years in healthcare billing, medical insurance verification, or revenue cycle management (RCM).

• Must be Bilingual

• Technical Skills: Proficiency in EHR/EMR platforms, clearinghouses (e.g., Availity, Change Healthcare), Microsoft Excel/Google Sheets, and payer portals.

• Knowledge: Deep understanding of commercial payers, CPT/ICD-10 coding basics, and authorization workflows.

What We Offer

• Work-Life Balance: Hybrid schedule (1 WFH day/week) and early Friday afternoon departure at 3:00 PM.

• Collaborative Culture: A supportive, clinician-led team environment focused on sustainable, high-quality care.

• Professional Growth: Opportunities to expand your skills in patient care coordination, medical billing, and healthcare administration within a specialized reproductive psychiatry practice.

• Impactful Work: A meaningful role directly contributing to a compassionate patient experience for individuals navigating critical reproductive and life transitions.

• Paid Time Off: Competitive paid time off (PTO) and paid company holidays.

• Health Insurance & Benefits: Comprehensive health coverage and additional benefits package to be finalized and discussed as part of the formal offer.

If you are organized, compassionate, and eager to make a positive impact, we encourage you to apply.