Billing Representative in Henderson, Nevada at Nevada Pediatric Specialists

Nevada Pediatric Specialists | Henderson, NV | On-site, Full-time

Pay: $20.00 – $27.00 per hour, depending on experience and credentials

Reports to: Billing Manager

Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m.

About Us

Nevada Pediatric Specialists is an independent pediatric practice that has cared for families in Las Vegas and Henderson for years. We're looking for an experienced, detail-oriented certified biller to join our billing team at our Henderson office. If you know pediatric billing and like resolving denials before they become write-offs, we'd like to meet you.

What You'll Do

• Post payments, adjustments, and ERAs/EOBs accurately and on time
• Work denied and rejected claims: find the root cause, correct and resubmit, and file appeals when needed
• Follow up on unpaid and underpaid claims with commercial payers, Nevada Medicaid, and Medicaid managed care plans
• Review charges for correct CPT, ICD-10-CM, and HCPCS codes and modifiers before submission, following AAP and AMA guidelines
• Handle pediatric-specific billing correctly, including well-child/preventive visits, same-day sick and well visits (modifier 25), vaccine and vaccine-administration codes (including VFC), developmental and behavioral screenings, and newborn care
• Manage your share of the A/R aging report and keep it moving
• Spot denial trends and report them to the Billing Manager so we can fix the cause
• Answer patient billing questions professionally and with care
• Protect patient information in line with HIPAA

What You Need (Required)

• Completed formal training in medical billing (certificate or degree program)
• Active billing or coding certification, such as CPB, CBCS, CMRS, or CPC
• At least 2 years of medical billing experience
• At least 1 year of pediatric billing experience
• Proven experience posting payments and working denied claims through to resolution
• Working knowledge of AAP pediatric coding guidance (Coding for Pediatrics) and AMA CPT/E/M guidelines
• Ability to work on-site at our Henderson, NV office (this is not a remote or hybrid role)

Nice to Have

• 2+ years of pediatric billing experience
• Experience with eClinicalWorks (eCW) or a similar practice management system
• Experience with Nevada Medicaid and its managed care plans
• Experience with appeals and payer portals

Why Join Us

• Competitive pay: $20.00–$27.00/hour, set by experience and credentials
• A stable, physician-owned practice focused on pediatrics
• A collaborative billing team that values accuracy and follow-through
• Health insurance with 75% of the employee-only premium paid by the practice
• Option to add family health coverage, plus dental and vision, at group rates
• 401(k) with a 4% employer match after one year of employment
• Accrued paid time off (PTO)
• 7 paid federal holidays
• Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m.