Job Summary
We are seeking a highly organized and detail-oriented Medical Billing Specialist to manage both front-end and back-end aspects of the medical billing cycle. This role ensures accurate and timely claim submission, payment posting, denial management, and overall revenue integrity. The ideal candidate will have hands-on experience in healthcare billing, a solid understanding of insurance workflows, and the ability to coordinate effectively with both clinical and administrative teams.
Position: Medical Billing Specialist
Location: On-site, Barranquilla, Colombia
Schedule: Full time
Salary: $3.000.000 COP (Colombian contract with Legal Benefits + Monthly bonus)
Key Responsibilities:
Front-End Responsibilities (Pre-submission tasks):
- Patient intake data entry and validation of demographic and insurance details
- Eligibility and benefits verification using payer portals or clearinghouses
- Request and documentation of prior authorizations, when applicable
- Charge entry: CPT, ICD-10, and POS coding into billing software
- Scrubbing and electronic submission of claims (837 format)
- Pre-submission error correction for rejected encounters
- Coordinate with providers or clinical staff for missing encounter information
Back-End Responsibilities (Post-submission tasks):
- Receive and post payments from ERAs and EOBs into billing software
- Apply patient responsibility balances, such as copays, deductibles, and coinsurance
- Identify and manage denials, including simple corrections and resubmissions
- Reconcile payments with expected reimbursements
- Follow up with payers to obtain missing information or resolve issues
- Generate and analyze monthly AR (Accounts Receivable) and claim aging reports
Qualifications:
- High School Diploma or equivalent (Associate’s or Bachelor’s in related field is a plus)
- Minimum 1-2 years of experience in medical billing or revenue cycle
- Knowledge of billing software (e.g., Practice EHR, Kareo, AdvancedMD, etc.)
- Understanding of HIPAA and patient confidentiality
- Bilingual (English/Spanish) is a MUST
Tipo de puesto: Tiempo completo
Experiencia:
- Medical Biller: 1 año (Obligatorio)
Idioma:
- Inglés (Obligatorio)
