Bilingual Medical Biller & Eligibility Specialist

3 weeks, 2 days ago
Full-time
Junior
Customer and Technical Support
Staffing For Doctors

Staffing For Doctors

Staffing For Doctors provides virtual medical staffing solutions for healthcare practices, connecting them with top HIPAA-compliant candidates to enhance operational efficiency, reduce overhead costs, and improve patient care through dedicated virtual ...

Health Care Providers & Services
Founded 2025

Description

  • Perform real-time insurance eligibility and benefits verification for upcoming orthopedic appointments across commercial, government, and workers' compensation payers.
  • Work with the front desk and communications teams to resolve active or inactive coverage issues before patient check-in.
  • Identify deductibles, copays, and coinsurance amounts and update records to support accurate point-of-service collections.
  • Track, request, and obtain required insurance referrals from primary care physicians and insurance portals.
  • Monitor payer requirements and ensure imaging, injections, and specialist visits meet medical necessity rules.
  • Document and attach verified referrals and authorization codes in the ModMed EMR system.
  • Use fluent English and Spanish to support patient and internal insurance-related communications.
  • Document patient communication notes clearly to maintain transparency across clinical and financial teams.

Requirements

  • 2–3+ years of dedicated U.S. healthcare experience in insurance verification, referrals, or medical billing.
  • Native or professional bilingual fluency in both English and Spanish, written and verbal.
  • Strong foundational knowledge of U.S. insurance structures, coordination of benefits (COB), and orthopedic billing workflows.
  • Secure home office setup with high-speed internet.
  • Secondary monitor preferred.
  • Noise-canceling headset required or strongly preferred.
  • Hands-on administrative experience with Modernizing Medicine (ModMed / EMA) software preferred.
  • Prior experience in an orthopaedics, physical therapy, or sports medicine outpatient clinic preferred.

Interested in this position?

Apply directly on the company website

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