Medical Biller (Bilingual) - Pediatrics

Nevada Pediatric Specialists is hiring a Medical Biller to manage claims, follow-up, and patient account resolution in a high-volume pediatric practice. The Medical Biller is responsible for working accounts receivable, resolving denials, and ensuring accurate claim processing in alignment with internal workflows and payer requirements.

Key responsibilities include:

• Work accounts receivable follow-up for denials, rejections, and unpaid claims
• Review and interpret EOBs/ERAs for accurate posting and next steps
• Submit and track appeals and corrected claims
• Resolve coordination of benefits (COB) issues and insurance discrepancies
• Communicate with insurance companies and patients regarding claims
• Maintain accurate documentation in eClinicalWorks (eCW)
• Support patient balance resolution and payment plan processes for collection management
• Handle billing phone calls and provide professional patient support

Role requires strong understanding of EOBs, payer responses, and accurate follow-up actions to prevent revenue loss and errors.

Requirements:

• Minimum 1 year medical billing experience
• Experience with Medicaid & MCOs (Managed Care Organizations) required
• Experience with commercial/private insurance
• Strong knowledge of accounts receivable follow-up, denials, and appeals
• Insurance eligibility and claim resolution experience
• Bilingual in Spanish and English required
• Experience working in a high-volume, fast-paced environment

Preferred:

• Pediatrics experience
• Experience with eClinicalWorks (eCW) highly preferred (EMR/EHR experience required if no eCW)

Must work in-person (no remote work). Must demonstrate ability to work accounts receivable independently and consistently, identify and resolve claim issues without delay, follow structured workflows, and meet productivity expectations.