Medical Billing Specialist
hace 21 horas
Medical Billing Specialist Location: Colombia Compensation: USD 12,000 – 15,000 per year Openings: 1 About the Company The client is a U.S.-based ophthalmology and surgical practice specializing in eye care, laser vision correction, and surgical services. The organization operates a fast‑paced clinical and surgical environment and places strong emphasis on accuracy, patient experience, and revenue cycle efficiency. Position Summary The Medical Billing Specialist is responsible for front‑end and back‑end revenue cycle support, with a strong focus on insurance eligibility, real‑time patient estimates, authorizations, referrals, and medical records management for both clinic and surgical patients. This role also supports patient communication by answering incoming calls and coordinating closely with clinical and billing teams to ensure timely, accurate billing and continuity of care. Key Responsibilities Insurance & Eligibility Verify insurance eligibility and benefits for all clinic and surgical patients Confirm coverage details, including deductibles, copays, coinsurance, and authorization requirements Identify non‑covered services and clearly communicate patient financial responsibility Patient Estimates & Out‑of‑Pocket (OOP) Quotes Generate real‑time patient estimates for visits, diagnostics, procedures, and surgeries Calculate expected out‑of‑pocket costs based on insurance benefits and payer rulesExplain financial responsibility clearly to patients and address related questions Document estimates accurately in the EHR / Practice Management system Escalate complex insurance scenarios or secondary coverage issues as needed Authorizations & Referrals Obtain and track prior authorizations for in‑office procedures, diagnostics, and surgeries Process and monitor referrals from PCPs and specialists Ensure all authorizations and referrals are accurate, active, and properly documented Proactively follow up to prevent delays or claim denials Medical Records Request, receive, and upload medical records required for authorizations and billing Ensure documentation supports medical necessity and payer requirements Respond to medical record requests from insurance carriers and external providers Billing Support Partner with billing and coding teams to support clean claim submission Assist with resolving eligibility‑, authorization‑, and estimate‑related denials Maintain accurate patient demographic and insurance data Patient Communication Answer incoming calls professionally and efficiently Assist patients with insurance questions, estimates, authorization status, and billing inquiries Route clinical or urgent calls appropriately Administrative & Compliance Maintain HIPAA compliance and adhere to payer guidelines Document all insurance and patient financial interactions clearly Support front desk and clinical teams as needed to maintain patient flow Qualifications Minimum 2+ years of experience in medical billing, eligibility, or revenue cycle management Strong experience with insurance verification, real‑time estimates, authorizations, and referrals Surgical authorization experience preferred Proficiency with EHR and Practice Management systems Strong attention to detail and communication skills Skills & Attributes Highly organized, efficient, and deadline‑driven Comfortable handling high call volume and complex insurance scenarios Strong problem‑solving skills and follow‑through Patient‑focused with a professional and clear phone presence #J-18808-Ljbffr
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Medical Billing
hace 21 horas
Colombia Rad Hires A tiempo completoA leading healthcare provider is seeking a Medical Billing Specialist in Colombia. The role focuses on revenue cycle support, including insurance eligibility, patient estimates, and authorizations. Candidates should have a minimum of 2 years of experience in medical billing and strong communication skills. This position is crucial for ensuring accurate...
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Medical Billing Specialist
hace 5 días
LATAM - Colombia Rad Hires A tiempo completoMedical Billing SpecialistLocation: ColombiaCompensation: USD 12,000 – 15,000 per yearOpenings: 1About the CompanyThe client is a U.S.-based ophthalmology and surgical practice specializing in eye care, laser vision correction, and surgical services. The organization operates a fast-paced clinical and surgical environment and places strong emphasis on...
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Bilingual Medical Va
hace 1 semana
Colombia, Huila Prime Heart and Vascular, PLLC A tiempo completo**Bilingual Medical VA (with Medical Billing experience)** **Client**: Rheumatology Clinic **Hours**: 30 hours/week | **Location**: Remote **Languages**: English + Spanish **Pay**:$6.50 USD/hour** (weekly payouts) **Performance-based** increase after **3 months**. **Overview** We are hiring a **licensed Medical Doctor (MD) or Nurse Practitioner (NP)** to...
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Property Claims Billing Specialist
hace 7 días
Colombia, Huila Mpower Sourcing A tiempo completoJob Title: Claims Billing Specialist Company: WeDry USA Location: Remote (9am-6pm est) About WeDry USA: WeDry USA specializes in property restoration services, including water mitigation, fire restoration, mold remediation, and reconstruction services. Our mission is to help clients navigate challenging situations with professionalism and efficiency,...
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Billing Specialist
hace 5 días
Colombia - Bogota - Remote Carbon Health A tiempo completoTHE JOB AT A GLANCE This position is responsible for the completion of all tasks and duties required of a Medical Biller. These administrative and billing tasks are vital in ensuring our patients are billed accurately. This role is critical in maintaining patient satisfaction and operational success at our multiple clinics throughout the US from a central...
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Billing Operations Specialist
hace 21 horas
Colombia Search Atlas A tiempo completoFully Remote – Colombia and LATAM Timezone: EST Hi, we’re Search Atlas Group! We’re a rapidly growing SEO software company focused on engineering products and services that help websites improve their performance on Google. From Fortune 500 companies to leading Silicon Valley startups, our clients trust us to drive results. We’re looking for a...
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Bilingual Medical Va
hace 7 días
La Colombia Prime Heart and Vascular, PLLC A tiempo completo**Bilingual Medical VA** Client: Healing Rheumatology Hours: 30 hours per week | Location: Remote Languages Required: English + Spanish Overview A Rheumatology clinic is seeking a reliable and flexible Bilingual Medical Biller & Administrative Virtual Assistant to support both billing operations and day-to-day clinic administrative tasks. This role is...
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Collection Specialist
hace 2 semanas
Colombia Behavior Education Services Team A tiempo completoThe collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of different insurance payers. The collection specialist must possess critical thinking skills and...
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Billing Specialist
hace 1 semana
LATAM > Colombia > Bogota > Avenida - BOG Cencora A tiempo completoOur team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals...
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Head of Business Development
hace 2 semanas
Colombia Sales Rain SAS A tiempo completoCHARGE ENTRY/MEDICAL BILLING EXPERIENCE IS A MUST! Title: Bilingual Billing Specialist. Purpose: The purpose Billing Specialist, is to accurately submit clean claims to all insurance carriers, gather proper documentation needed for claims submission, verify patient’s policies, and communicate effectively with facilities. Attractive Salary will be...
