Medical Biller - Pediatrics in Henderson, Nevada at Nevada Pediatric Specialists

📍 Henderson, NV | In-Person Only
⏰ Monday–Friday | 8:30 AM – 5:00 PM

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

• Work A/R follow-up (denials, rejections, unpaid claims)
• Review and interpret EOBs/ERAs for accurate posting and next steps
• Submit and track appeals and corrected claims
• Resolve 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 missed revenue and errors

• ✅ 1+ year medical billing experience (required)
• ✅ Experience with:
  • Medicaid & MCOs (required)
  • Commercial/private insurance
• ✅ Strong knowledge of:
  • A/R follow-up, denials, and appeals
  • Insurance eligibility and claim resolution
• ✅ Experience working in a high-volume, fast-paced environment

• ✅ Bilingual (Spanish/English) preferred
• Pediatrics experience
• eClinicalWorks (eCW)highly preferred
  • (EMR/EHR experience required if no eCW)

• In-person position only – no remote work
• Must demonstrate ability to:
  • Work A/R independently and consistently
  • Identify and resolve claim issues without delay
  • Follow structured workflows and meet productivity expectations