Bilingual Medical Billing Specialist

Bilingual Medical Billing Specialist (Spanish)

Rockstar is an industry-leading staffing company based in Arizona that helps healthcare businesses across the United States streamline operations by connecting them with skilled remote professionals. We partner with talented individuals from around the world, providing meaningful remote career opportunities that empower personal and professional growth.

At Rockstar, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of integrity, excellence, and long-term service. Every placement is an opportunity to make a meaningful difference, for the practice, for patients, and for you.

Job Description

This is a remote position.

ABOUT ROCKSTAR

Rockstar is an industry-leading staffing company based in Arizona that helps healthcare businesses across the United States streamline operations by connecting them with skilled remote professionals. We partner with talented individuals from around the world, providing meaningful remote career opportunities that empower personal and professional growth.

At Rockstar, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of integrity, excellence, and long-term service. Every placement is an opportunity to make a meaningful difference for the practice, for patients, and for you.

ROLE OVERVIEW

Rockstar is seeking an experienced, bilingual (Spanish and English) Medical Billing Specialist to support an outpatient pediatric therapy practice on a full-time remote basis. This is a billing-first role built for professionals who know the full revenue cycle, not just one piece of it, and who take ownership of the financial health of the practice they support.

Denials management and appeals are the top priority of this role. Authorizations, insurance verifications, and referral and script follow-up are also core parts of the job, alongside claim submission, payment posting, accounts receivable follow-up, and reporting. Nevada Medicaid and its managed care plans make up most of the payer mix, and many of the families served speak only Spanish, so you will handle billing and phone calls in both languages.

KEY RESPONSIBILITIES

Denials Management & Appeals (Top Priority)

• Review denied claims promptly, research denial reasons, and determine the appropriate course of action
  
• Prepare and submit appeals with supporting documentation to secure proper reimbursement
  
• Track denial trends and communicate findings to leadership to support process improvements
  
• Follow up on appealed claims and rework as needed until resolution
  
• Identify and help prevent future denials through accurate claim preparation and payer knowledge
  

Authorizations, Insurance Verification & Referral Follow-Up

• Obtain and track prior authorizations, including renewals
  
• Verify patient insurance eligibility and benefits, including re-verifications
  
• Follow up on referrals and scripts to keep them current
  
• Track plans of care and authorization-related billing requirements to keep claims billable
  

Claims Submission & Billing Operations

• Process and submit insurance claims accurately and in a timely manner via EMR and clearinghouse systems
  
• Manage the full billing cycle including claim creation, submission, tracking, and follow-up
  
• Handle primary and secondary insurance claims, with a focus on Medicaid and managed care plans, including manual tracking requirements
  
• Ensure all claims are submitted with correct coding, documentation, and payer-specific requirements
  
• Resolve billing discrepancies by identifying root causes, correcting errors, and rebilling claims as needed
  
• Ensure compliance with billing and coding regulations and maintain clean documentation for audit readiness
  

Accounts Receivable & Payment Management

• Monitor and reconcile the accounts receivable ledger and maintain accurate, up-to-date A/R records
  
• Follow up on outstanding balances, unpaid claims, and overdue accounts to support healthy cash flow
  
• Post insurance and patient payments to accounts accurately and ensure proper allocation
  
• Post zero-balance EOBs and process patient refunds as required
  
• Generate and distribute monthly statements to patients and clients
  
• Support collections workflows and elevate unresolved balances as appropriate
  
• Generate billing and A/R reports for practice leadership on a reg