Execute precise billing operations for U.S. senior care providers, ensuring accurate reimbursement across Assisted Living, Hospice, and RCFE settings.
Submit and track claims for U.S. Medicare/Medicaid and private payers.
Investigate and resolve claim rejections, underpayments, and coding errors (ICD-10, CPT).
Collaborate with clinical teams to ensure service documentation aligns with billing compliance.
Generate statements, process payments, and address patient inquiries.
Assist in generating AR aging reports and reconciliation audits.

Must be available to work Pacific Time (California) hours, Monday–Friday.
Minimum 2+ years of medical billing experience within the U.S. healthcare system (senior care settings strongly preferred: ALFs, Hospice, RCFEs).
Proficiency in U.S. Medicare/Medicaid billing rules and EHR systems (e.g., Epic, Cerner).
Experience with U.S.-based payers and reimbursement processes is mandatory.
Knowledge of California-specific billing regulations is a strong plus.
Strong attention to detail and problem-solving skills.
High school diploma required; AAPC certification (e.g., CPC, CPB) is a plus.

Medical Billing Specialist – U.S. Operations

Key skills