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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in U.S. medical billing and revenue cycle management, including claims submission, denial management, and accounts receivable follow-up. Proficient in applying coding standards such as CPT, ICD-10-CM, and HCPCS while effectively communicating with insurance payers and patients in both English and Spanish.
Highest-signal resume keywords
U.S. Medical Billing ExperienceClaims Submission and Denial ManagementCPT, ICD-10-CM, HCPCS ProficiencyAccounts Receivable ManagementBilingual Communication (English and Spanish)
About the role
Key responsibilities & impact- Manage day-to-day U.S. medical billing and revenue cycle activities
- Prepare, review, and submit accurate claims to Medicare, Medicaid, and commercial insurance payers
- Review patient accounts, medical records, charges, and insurance information for billing accuracy
- Apply and interpret CPT, ICD-10-CM, HCPCS, and applicable modifiers
- Identify and correct billing and coding errors before or after claim submission
- Manage claim rejections, denials, corrections, appeals, and resubmissions
- Perform accounts receivable follow-up on outstanding and aging claims
- Investigate unpaid, underpaid, and incorrectly processed claims and follow up with insurance payers
- Review EOBs and ERAs and reconcile payments against patient accounts
- Perform or support payment posting and account reconciliation
- Verify patient eligibility, insurance information, and benefits when required
- Use payer portals, clearinghouses, and billing systems to research and resolve claim issues
- Monitor outstanding AR and move accounts toward resolution
- Identify recurring billing, coding, denial, or payment issues and communicate trends to the appropriate team
- Communicate professionally with insurance companies, providers, patients, and internal teams
- Maintain accurate billing documentation and follow client-specific processes and compliance requirements
- Work independently in a remote environment while meeting accuracy, productivity, and turnaround-time expectations
Requirements
What you’ll need- Minimum 3 years of hands-on experience in U.S. medical billing
- Direct experience supporting the U.S. healthcare revenue cycle
- Hands-on experience with medical billing, medical coding, CPT, ICD-10-CM, HCPCS, claims submission, denial management, accounts receivable, insurance/payer follow-up, and revenue cycle management
- Experience working with U.S. insurance payers, including commercial insurance and/or Medicare/Medicaid
- Working knowledge of EHR/EMR systems, clearinghouses, payer portals, or healthcare billing software
- Fluent in English and Spanish, with the ability to communicate professionally in both languages
- Strong attention to detail and ability to independently manage billing tasks and follow up on outstanding accounts
- Comfortable working remotely and meeting client-specific productivity and quality expectations
- Medical billing or coding certification such as CPC, CCS, CPB, CCA, or equivalent is preferred but not required
- Preferred experience managing aging AR and complex denials
- Preferred experience with appeals and payer disputes
- Preferred experience with payment posting and EOB/ERA reconciliation
- Preferred experience with Medicare and Medicaid billing
- Preferred experience working with multiple insurance payers and payer portals
- Preferred experience in primary care, behavioral health/mental health, ophthalmology, dental, specialty clinics, or other U.S. healthcare practices
Benefits
Comp & perks- Fully remote work arrangement
- Flexible workload of 15–40 hours per week
- Full-time and part-time work options
- Schedule aligned with U.S. business hours based on client requirements and agreed availability
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingMedical CodingClaims SubmissionDenial ManagementAccounts ReceivableRevenue Cycle ManagementPayment PostingEOB/ERA ReconciliationBilling AccuracyInsurance Follow-Up
Soft Skills
Attention to DetailIndependent WorkProfessional Communication
Tools & Technologies
EHR/EMR SystemsClearinghousesPayer PortalsHealthcare Billing Software
Certifications & Qualifications
CPCCCSCPBCCA
Industry Keywords
MedicareMedicaidCommercial InsuranceHealthcare Revenue CycleAging Accounts ReceivablePayer DisputesPrimary CareBehavioral HealthOphthalmologyDental Clinics