Medical Billing Specialist

This is a Hybrid Remote position. Employees work remotely, with required scheduled IN-office day(s) assigned by direct management.

Growing medical billing office seeking a detail-oriented and experienced Medical Billing Specialist who is fluent in both English and Spanish to join our ever-expanding team. Work as part of a Team handling multiple areas of the revenue-cycle while working predominantly from your home. Insurance follow-up, claim denials and appeals, guarantor follow-up, patient correspondence, customer service, and general duties related to medical billing. 

Candidates must be able to work in a Team environment, handle multiple tasks, comfortable working with numbers and problem-solving skills. Position requires a reliable and self-motivated bilingual, English/Spanish, individual with strong customer service skills, required to assist Spanish-speaking patients and insurance providers

We invite you to apply to the best medical billing team in Wisconsin!

Responsibilities

• Verify patient information and insurance coverage to ensure accurate billing
• Familiarity with Insurance portals
• Understanding of EOBs/remittances to implement contractual adjustments, denials, reviews and balance billing
• Follow up on unpaid and outstanding claims to ensure timely filing and payment 
• Identify and resolve unpaid or denied claims, correct and resubmit for review
• Communicate with patients to address billing inquiries and resolve discrepancies in both English and Spanish
• Customer service to assist patients, providers and insurance companies with billing inquiries/issues in both English and Spanish
• Implement and follow established processes
• Maintain accurate documentation of billing activity on accounts
• Comply with HIPAA regulations

Skills

• Excellent communication and customer service abilities with multi-line phone system experience
• Attention to detail and strong organizational skills
• Desire to learn
• Comfortable with numbers
• Problem-solving skills
• Computer knowledge and agility
• Ability to identify patterns that may lead to improved billing practices
• Reliable time management
• Clear verbal and written communication

Qualifications:

• Fluent in both English and Spanish
• Knowledge of EMR and EHR systems
• High school diploma or equivalent.
• Associates degree or Certification in medical billing and coding (e.g., CPC, CCS, or similar).
• Proven experience in medical billing or a related field.