US Medical Billing Assistant
Location: El Cubo Center, Antigua
Status: Open Position
About Avanmed
At Avanmed, we help healthcare providers run both their patient-facing and back‑office operations with efficiency and accuracy. In addition to our virtual front‑desk services, our end‑to‑end medical billing solutions ensure claims are coded correctly, submitted promptly, and reimbursed without delay.
Job Description
As a Virtual Medical Billing Assistant, you’ll be a critical part of the revenue cycle—turning quality clinical documentation into reliable cash flow for U.S.-based medical practices.
Core Responsibilities
* Verify patient insurance & eligibility prior to service.
* Apply accurate codes (CPT, ICD‑10, HCPCS) for all claims.
* Submit & track claims via platforms such as Availity, TriZetto, and other clearinghouses.
* Review & post EOBs (Explanation of Benefits) and reconcile payments, co‑payments, deductibles, and patient balances.
* Follow up on denials—research issues, correct and resubmit claims.
* Generate billing reports and monthly performance summaries for internal review.
* Communicate clearly with patients and insurance companies to resolve billing inquiries.
* Collaborate with virtual Medical Assistants to ensure clinical documentation supports accurate coding.
Qualifications Core Qualifications
* 2+ years of U.S. medical billing experience in a multi‑specialty or outsourced setting.
* Solid understanding of CPT, ICD‑10, and HCPCS coding guidelines.
* Hands‑on experience with billing platforms such as Availity and TriZetto (or similar).
* Proven track record submitting claims, managing denials, and reducing accounts receivable days.
* Strong English fluency (≥ 80% proficiency in spoken and written).
* Excellent attention to detail, organization, and problem‑solving skills.
* Comfortable working in a structured, on‑site environment.
Additional Qualifications
* Certified Professional Coder (CPC) or Certified Billing & Coding Specialist (CBCS) is a plus.
* Familiarity with HIPAA regulations and patient‑privacy standards.
* Proficiency with Excel for reconciliation and reporting.
* Experience Required: 2+ Years
* Position Type: Full Time
* Professional Level: Mid Level
* Language Requirement: C1 English or above
* Schedule: Monday‑Friday
* Hours Per Week: 40
* Wage: Salaried
* Benefits: Competitive Pay & Vacation time
Application
Please provide your contact information and your CV/resume in PDF format (up to 2 MB).
[First Name] [Last Name] [Phone Number] [Email] [CV / Resume File]
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