Billing & Insurance Claims Assistant
这是一个远程职位。仅基于 LATAM 的候选人 (西班牙语和英语双语)全日制 独立承包商职位概述 我们正在寻求一个详细指向的 Billing & Insurance Claims Assistant,以支持美国医疗实践与端到端保险费用处理过程。这个角色主要集中在索赔管理,纠正的索赔和上诉方面,密切合作于内部支付团队和保险提供者。该职位是注册专注,不涉及前台责任或约会安排。患者沟通只限于保险相关问题。目前作用范围 费用和保险索赔助理在培训后独立管理账单工作流程,遵循既定程序并必要时与内部支付线路协调。关键责任 ·处理到申请提交的完整计费过程。·准备并提交纠正的索赔当发现错误时。·管理上诉,包括:· 在线提交 ·手动或邮件上诉如果需要 ·与美国保险公司沟通以解决索赔问题,拒绝或进程变化。·只为保险相关的问题进行通信。·与多家保险公司合作,适应不同的收费规则和流程。·在收费系统内保持准确的文档和更新以及共享记录。·遵循客户和 MyVA 支持提供的内部工作流程和文件。该角色不包括什么?·约会安排 ·前台或接待员职责 ·响应进来电话或一般客户服务技能和经验在这一角色中获得的诊断和 CPT 收费代码。·接触45个不同美国保险公司及其收费流程。· 经过结构化培训和监视后可以独立工作的能力。你可能遇到的挑战 · 调整保险公司对流程变化的情况,这可能影响申请时间表。· 在多层次的通信结构中工作,需要与内部团队成员协调进行升级或批准。要求 ·美国医疗费用和保险索赔方面的经验证明。· 对纠正索赔和上诉实践经验。·熟悉 CP.
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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
- Productivy bonus of 50 USD (paid in local currency)
- Reliability bonus of 25 USD (paid in local currency)
- Consecutive reliability bonus of 50 USD (paid in local currency)
Originally posted on Himalayas