Medical Billing & Patient Accounts Specialist – Bilingual (Filipino / Spanish)

About the Role

This U.S.-based organization specializes in supplying medical offices with HIPAA-certified remote personnel. The firm focuses on pairing healthcare providers with expert virtual staff to handle core clinical and back-office tasks, emphasizing data integrity and compliance to promote operational efficiency. The position of Medical Billing and Patient Accounts Specialist is focused on managing the revenue cycle for medical client practices. In this remote role, you will act as a primary financial liaison, tasked with maintaining billing precision and delivering professional, supportive communication to patients. Success in this role demands the ability to manage technical billing tasks while maintaining an empathetic approach to patient engagement and upholding strict data security protocols.

Requirements

• Demonstrate recent, practical expertise with athenaOne or AthenaHealth billing tools, such as patient statements, worklists, and hold queues.
• A minimum of two years of professional experience in U.S. medical billing, accounts receivable, and handling insurance denials.
• Deep knowledge of ICD-10 and CPT coding standards, modifiers, and the ability to interpret Electronic Remittance Advices and Explanation of Benefits.
• High-level verbal communication skills with a focus on telephone etiquette and conflict management.
• Fluency in Spanish, English, and Filipino.
• Provision of a private home workspace with a noise-canceling headset, high-speed internet, and experience operating web-based VOIP telephony.

Responsibilities

• Oversee and organize daily billing tasks, manage claim hold queues, and track status dashboards via the athenaOne platform.
• Investigate, adjust, and resubmit denied or rejected claims involving Medicaid, Medicare, and private insurance providers.
• Analyze Explanation of Benefits and Electronic Remittance Advices to address inconsistencies and manage the appeals process.
• Respond to incoming inquiries from patients regarding their account balances, billing statements, and insurance coverage.
• Facilitate payment arrangements, handle financial transactions, and mediate billing conflicts.
• Maintain detailed records of all patient communication and insurance follow-ups in patient charts while pinpointing systematic errors to optimize revenue cycle workflows.