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Medical Billing Specialist

Location: Colombia

Compensation: USD 12,000 – 15,000 per year

Openings: 1

About the Company

The client is a U.S.-based ophthalmology and surgical practice specializing in eye care, laser vision correction, and surgical services. The organization operates a fast‑paced clinical and surgical environment and places strong emphasis on accuracy, patient experience, and revenue cycle efficiency.

Position Summary

The Medical Billing Specialist is responsible for front‑end and back‑end revenue cycle support, with a strong focus on insurance eligibility, real‑time patient estimates, authorizations, referrals, and medical records management for both clinic and surgical patients.

This role also supports patient communication by answering incoming calls and coordinating closely with clinical and billing teams to ensure timely, accurate billing and continuity of care.

Key Responsibilities

Insurance & Eligibility
- Verify insurance eligibility and benefits for all clinic and surgical patients
- Confirm coverage details, including deductibles, copays,



coinsurance, and authorization requirements
- Identify non‑covered services and clearly communicate patient financial responsibility

Patient Estimates & Out‑of‑Pocket (OOP) Quotes
- Generate real‑time patient estimates for visits, diagnostics, procedures, and surgeries
- Calculate expected out‑of‑pocket costs based on insurance benefits and payer rulesExplain financial responsibility clearly to patients and address related questions
- Document estimates accurately in the EHR / Practice Management system
- Escalate complex insurance scenarios or secondary coverage issues as needed

Authorizations & Referrals
- Obtain and track prior authorizations for in‑office procedures, diagnostics, and surgeries
- Process and monitor referrals from PCPs and specialists
- Ensure all authorizations and referrals are accurate, active, and properly documented
- Proactively follow up to prevent delays or claim denia

Postúlate en Kit Empleo: kitempleo.com.co/empleo/1ar2kw

📌 Medical Billing Specialist (Colombia)
🏢 Rad Hires
📍 Colombia