Billing & Insurance Claims Assistant

 Posted an hour ago
  
 Italy
  
2-5 years experience
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AI Summary

Manage the end-to-end insurance billing process, including the submission of corrected claims and handling appeals. Coordinate with U.S. insurance companies and patients to resolve claim denials and billing issues.

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-oriented Billing & Insurance Claims Assistant to support U.S.-based medical practices with end-to-end insurance billing processes. This role is primarily focused on claims management, corrected claims, and appeals, working closely with internal billing teams and insurance providers.


The position is billing-focused and 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 the full billing process up to claim submission.
  • Prepare and submit corrected claims when errors are identified.
  • Manage appeals, including:
  • Online submissions
  • Manual or mail-based appeals when required
  • Communicate with U.S. insurance companies to resolve claim issues, denials, or process changes.
  • Communicate with patients only for insurance-related matters (e.g., missing information, coordination with payer requirements).
  • Work with multiple 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 with diagnostic and CPT billing codes.
  • Exposure to 4–5 different U.S. insurance companies and 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 to process changes from insurance companies that may affect claim timelines.
  • Working within a multi-layer communication structure, requiring coordination with internal team members for escalations or approvals.


Requirements

  • Proven experience in U.S. medical billing and insurance claims.
  • Hands-on experience with corrected 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 may gradually evolve to include limited patient phone interactions strictly 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 availability aligned with U.S. business hours
  • Independent Contractor role (contractor is responsible for local taxes and statutory contributions)
  • $850 USD Monthly


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