Medical Biller

The medical biller will be responsible for the analysis, monitoring, collection, data management, other administrative responsibilities related to the medical billing process, and patient-on call support for the client. Location : LATAM, 100% Remote . Working hours are based on the US Central Time Zone.

About Us

Abstra is a fast-growing, Nearshore Tech Talent services company, providing top Latin American tech talent to U.S. companies and beyond. Founded by U.S.-bred engineers with over 15 years of experience, Abstra specializes in sourcing skilled professionals across a wide range of technologies to meet our clients’ needs, driving innovation and efficiency.

Responsibilities

Responsible for compiling and maintaining current and accurate data for all providers. Responsible for Data entry and maintaining provider information in online credentialing databases and systems (CredentialStream, CAQH, PECOS, and NPPES). Responsible for PrimeSource Verification of State license, DEA, and Board certification.

Responsible for completing provider initial and re-credentialing applications. Audits applications for accuracy and completeness. Responsible for revalidation requests issued by government payers. Responsible for submitting completed credentialing applications and supporting documentation to all requested payers. Responsible for monitoring application progress and following up with payers as needed until confirmation of “in-network” status has been received.

Responsible for maintaining copies of current state licenses, DEA certificates, malpractice coverage, and any other required credentialing documents for all providers. Also tracks all state license, DEA, and board certification expirations for all providers to ensure timely renewals. Responsible for tracking CME and sending quarterly updates to providers.

Utilizes strong research skills to gather pertinent information regarding providers a nd all other duties as assigned.

Qualifications

High School Diploma and a minimum of 2 years related experience preferred; or at least four years related experience and education/training ; or an equivalent combination of education and work experience considered. Working knowledge of credentialing accreditation regulations, policies, and procedures. Payer Provider Enrollment: 1 year (Preferred) Healthcare area experience: 1 year (Preferred) Familiar with provider credentialing and recredentialing requirements.

Strong analytical computer and software skills. Excellent interpersonal skills, including excellent verbal and written communication skills. Ability to work independently and assume assigned responsibilities. Skilled in efficiency, organization, time management, and prioritization. Ability to be flexible and function well in a fast-paced environment.

Ability to deal with problems involving several concrete variables in standardized situations. Ability to communicate effectively and relate to people of different cultures. Ability to handle confidential information.

What We Offer

Competitive compensation paid in USD. 20 days of paid time off (PTO) per year. Opportunities for professional growth and career development. Company-provided equipment. A collaborative, inclusive, and multicultural work environment. The opportunity to contribute to meaningful projects alongside a talented and supportive team.

Pre-Employment Verification As part of our standard onboarding process, candidates who successfully complete the interview process and accept an employment offer will be required to complete an employment verification check, and background check. This process will confirm job titles and dates of employment with two previous employers and is a standard requirement for all new employees joining the company.