计费与保险理赔助理
Billing & Insurance Claims Assistant
这是一个远程职位。
仅限拉美地区候选人（西班牙语和英语双语）
全职 | 独立承包商
职位概述
我们正在寻找一位注重细节的账单与保险索赔助理，为美国的医疗机构提供端到端的保险账单流程支持。该职位主要专注于索赔管理、更正索赔和申诉，与内部账单团队和保险公司密切合作。
该职位以账单为主，不涉及前台职责或预约安排。患者沟通仅限于与保险相关的事宜。
当前职责范围
在培训后，账单与保险索赔助理需独立管理账单流程，遵循既定程序，并在必要时与内部账单负责人协调。
关键职责
- 处理完整的账单流程，直至索赔提交。
- 在发现错误时准备并提交更正后的索赔。
- 管理申诉，包括：
- 在线提交
- 必要时进行手动或邮寄方式的申诉
- 与美国保险公司沟通，解决索赔问题、拒赔或流程变更。
- 仅就保险相关事宜（例如缺少信息、与付款人要求的协调）与患者沟通。
- 与多家保险公司合作，适应不同的账单规则和流程。
- 在账单系统和共享记录中保持准确的文档和更新。
- 遵循客户和MyVA Support提供的内部流程和文档。
该职位不包含的内容
- 预约安排
- 前台或接待员职责
- 回应来电或一般客户服务
在此职位中获得的技能与经验
· 实际使用诊断和CPT账单代码的经验。
· 接触4-5家不同的美国保险公司及其账单流程。
· 在提交到解决的整个索赔生命周期中进行实际操作的经验。
· 在结构化培训和观察后能够独立工作的能力。
你可能会遇到的挑战
- 调整保险公司可能影响索赔时间表的流程变化。
- 在多层沟通结构中工作，需要与内部团队成员协调以进行升级或审批。
要求
- 在美国医疗账单和保险索赔方面有实际经验。
- 具有更正索赔和申诉的实际操作经验。
- 熟悉CPT
查看英文原文
This is a remote position.
Only LATAM-based candidates (bilingual in Spanish and English)
Full-Time | Independent Contractor
Position Overview
We are seeking a detail-orientedBilling & Insurance Claims Assistantto support U.S.-based medical practices with end-to-end insurance billing processes. This role is primarily focused onclaims management, corrected claims, and appeals, working closely with internal billing teams and insurance providers.
The position isbilling-focusedand does not involve front desk responsibilities or appointment scheduling. Patient communication is limited to insurance-related matters only.
Current Scope of the Role
The Billing & Insurance Claims Assistant is responsible for managing billing workflows independently after training, following established procedures and coordinating with internal billing leads when necessary.
Key Responsibilities
- Handle thefull billing process up to claim submission.
- Prepare and submitcorrected claimswhen errors are identified.
- Manageappeals, including:
- Online submissions
- Manual or mail-based appeals when required
- Communicate withU.S. insurance companiesto resolve claim issues, denials, or process changes.
- Communicate withpatients only for insurance-related matters(e.g., missing information, coordination with payer requirements).
- Work withmultiple insurance companies, adapting to different billing rules and processes.
- Maintain accurate documentation and updates within billing systems and shared records.
- Follow internal workflows and documentation provided by the client and MyVA Support.
What This Role Does NOT Include
- Appointment scheduling
- Front desk or receptionist duties
- Answering inbound calls or general customer service
Skills & Experience Gained in This Role
· Practical experience withdiagnostic and CPT billing codes.
- Exposure to4–5 different U.S. insurance companiesand their billing processes.
- Hands-on experience managing claim lifecycle, from submission to resolution.
- Ability to work independently after structured training and shadowing.
Challenges You May Encounter
- Adjusting toprocess changes from insurance companiesthat may affect claim timelines.
- Working within amulti-layer communication structure, requiring coordination with internal team members for escalations or approvals.
Requirements
- Proven experience inU.S. medical billing and insurance claims.
- Hands-on experience withcorrected claims and appeals.
- Familiarity with CPT and diagnostic codes.
- Experience communicating with U.S. insurance providers.
- English level:B2 or higher(reading, writing, and speaking).
- Strong attention to detail and ability to work independently after training.
- Comfortable following documented procedures and workflows.
Nice to Have
- Experience working remotely with U.S.-based medical practices.
- Familiarity with EMRs or U.S. billing platforms.
- Willingness to expand responsibilities over time.
Benefits
Growth & Development Opportunities
- Continued exposure to additional insurance companies and more complex billing scenarios.
- Opportunity to deepen expertise across all payer processes.
- Based on performance and business needs, the role maygradually evolve to include limited patient phone interactionsstrictly related to billing and insurance matters.
- Periodic performance reviews focused on accuracy, efficiency, and compliance.
Work Conditions
- Remote position (LATAM-based candidates only)
- Full-time availabilityaligned with U.S. business hours
- Independent Contractor role (contractor is responsible for local taxes and statutory contributions)
- $850 USD Monthly
Originally posted on Himalayas