# Medical Biller w/ California Insurance Experience (Bilingual Spanish - English)

> Berry Virtual · Nicaragua (Remote) · Full-time · Posted 2026-07-23

**Workplace:** remote

**Department:** MedVirtual

## Description

\[_Kindly submit your updated English resume_\]

We are seeking a highly skilled Full-Cycle Medical Biller with extensive experience in U.S. healthcare billing, particularly within California insurance systems. This role requires a deep understanding of the end-to-end billing cycle, including claim submission, payment posting, accounts receivable (A/R), and denial management.

The ideal candidate is a proactive problem-solver who can independently navigate complex payer systems while also supporting front-office functions, including patient intake and communication.

**Key Responsibilities:**

-   Manage the **full-cycle medical billing process** from claim creation to final payment resolution
-   Perform accurate **claim submission and generation** using ICD-10 and CPT coding
-   Handle **payment posting**, reconciliation, and adjustments
-   Monitor and manage **Accounts Receivable (A/R)** to ensure timely collections
-   Conduct **denial management and follow-ups**, including appeals and resubmissions
-   Perform **insurance verification and eligibility checks**
-   Process and manage **prior authorizations** for procedures and services
-   Navigate payer portals (e.g., Availity and payer-specific systems) for claims, eligibility, and follow-ups
-   Communicate with insurance providers regarding claim status, denials, and authorizations
-   Support **front-office operations**, including patient intake and insurance-related inquiries
-   Ensure compliance with **medical necessity documentation** and payer requirements
-   Collaborate with providers and internal teams to resolve billing discrepancies

## Requirements

-   **2+ years of end-to-end medical billing experience (REQUIRED)**
-   Strong proficiency in:

-   Claim submission and generation
-   ICD-10 and CPT coding
-   Payment posting
-   A/R management
-   Denial handling and follow-ups

-   Extensive experience with:

-   **Insurance verification and prior authorizations (REQUIRED)**

-   Hands-on experience working with:

-   **Medicare**
-   **Medicaid / Medi-Cal (or state equivalent)**
-   **Medicare Advantage plans**
-   **HMO plans in California (REQUIRED)**

-   Deep familiarity with **U.S. insurance portals** (e.g., Availity, payer portals)
-   Strong understanding of **medical necessity requirements**
-   Excellent communication and problem-solving skills
-   Willingness to work in US time zones (PST, EST, CST).
-   High school diploma or equivalent.

### **Preferred Qualifications**

-   Experience working with **Independent Physician Associations (IPAs)**
-   Background in **Primary Care and/or ENT (Ear, Nose, and Throat)** specialties
-   Experience with **DrChrono EHR** (preferred but not required)

  
**System and Work Setup Requirements:**

-   **Internet**: Minimum speed of 25 Mbps or higher, with a reliable backup connection available in case of power outages or service provider issues.
-   **Processor**: Intel Core i5 7th Generation or higher (or equivalent).
-   **Memory**: 8 GB RAM.
-   **Storage**: 256 GB SSD or HDD with at least 50% free space available.
-   **Webcam**: 720p resolution or higher.
-   **Operating System**: Windows 10 or later (or equivalent).
-   **Audio Equipment**: Noise-canceling earphones or headset.
-   **Workspace**: A designated, quiet, and organized workspace free from distractions to ensure productivity and focus.

## Benefits

-   Permanent remote work setup
-   Competitive starting rate paid in USD
-   Internet Allowance
-   HMO insurance (PH)
-   Paid US holidays
-   Paid Vacation and Sick Leaves

## Apply

[Apply at Berry Virtual](https://apply.workable.com/berryvirtual/j/E11C4AD57F/apply)

---
Powered by [Workable](https://www.workable.com)