Billing & Insurance Claims Assistant

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
  

• 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.
  

• 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.
  

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