Biller - Claim Management & Accounts Receivable, OB-GYN Revenue Cycle Team in Las Vegas, Nevada at Hera Women's Health

Job Title: Biller - Claim Management & Accounts Receivable, OB-GYN Revenue Cycle Team

Position: Full-Time

Location: Las Vegas – Hybrid

We are seeking an experienced, detail-oriented Biller to join our OB-GYN Revenue Cycle Team. This is a hybrid position, offering a mix of remote work and on-site responsibilities. The ideal candidate has strong expertise in claim management, accounts receivable follow-up, and appeals, along with deep knowledge of Nevada and Arizona payers.

Key Responsibilities

Claim Management & Accounts Receivable

• Manage the full lifecycle of claims-from submission to posting and payment resolution.

• Conduct comprehensive AR follow-up to ensure timely reimbursement.

• Work denials, rejections, and underpayments efficiently and accurately.

• Identify payer trends and escalate recurring issues to Revenue Cycle leadership.

• Maintain organized documentation, claim logs, and follow-up reports.

Appeals & Payer Communication

• Prepare and submit detailed appeals for denied or improperly processed claims.

• Communicate professionally with payer representatives to resolve complex issues.

• Ensure all appeals comply with payer-specific policies and include all required documentation.

Billing Support

• Review charges and clinical documentation for completeness prior to submission.

• Collaborate with patient registration, providers, and clinical staff to resolve billing-related discrepancies.

• Maintain up-to-date knowledge of payer policies-especially Nevada Medicaid, Arizona Medicaid (AHCCCS), and regional commercial plans.

Qualifications

• OB-GYN billing experience required (maternity, women's health, global billing, L&D services, etc.).

• Strong knowledge of Nevada and Arizona payers, including Medicaid programs (e.g., Nevada Medicaid, AHCCCS).

• Demonstrated expertise in:

• Claim management
• Accounts receivable follow-up
• Denial resolution
• Appeals and reconsiderations

• Experience with AthenaOne EMR is helpful but not required.

• Strong analytical, communication, and organizational skills.

• Ability to work independently in a fast-paced, hybrid environment.

What We Offer

• Hybrid position (mix of remote and on-site work)

• Full-time schedule, Monday-Friday

• Competitive compensation

• Medical, dental, and vision

• Paid Time Off (PTO) and holiday pay

• Retirement savings plan with employer match after 1 year of service

• Supportive, collaborative 08-GYN Revenue Cycle Team

• Opportunities for career growth and advancement