Bilingual Medical Billing Specialist (Spanish)

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. 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

• Competitive salary commensurate with experience • Opportunities for professional development and long-term career growth • Work within a dynamic, collaborative, and supportive team environment • Stable, full-time remote employment with U.S.-based healthcare clients • Make a meaningful impact by helping practices serve their patients and communities

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 escalate unresolved balances as appropriate • Generate billing and A/R reports for practice leadership on a regular basis Patient Billing Communication (English and Spanish) • Make outbound calls to patients or guarantors in English or Spanish to follow up on outstanding balances, declined payments, or billing questions • Communicate billing details, payment options, and insurance responsibilities clearly and professionally in both languages • Respond to patient inquiries related to statements, claims, and account balances via phone and email • Document all billing-related communications and update patient records accordingly Administrative & Reporting Support • Maintain accurate electronic patient records and billing documentation within the EMR • Generate key performance and billing reports for management review • Assist with administrative workflows, front desk backup duties, or special projects as assigned by the client • Maintain strict HIPAA compliance and patient confidentiality at all times Requirements Required • Fluent Spanish and English, spoken and written, with the ability to handle billing and phone calls in both languages • 2+ years of hands-on medical billing experience. This is not an entry-level role • Medicaid billing experience (Nevada Medicaid and its managed care plans make up most of the payer mix) • Outpatient therapy billing experience (OT, PT, or speech), ideally pediatric • Proven experience managing the full revenue cycle: claim submission, payment posting, A/R follow-up, and denials • Strong working knowledge of insurance billing processes, payer requirements, and reimbursement rules • Experience with denials management, including researching, correcting, appealing, and tracking claims to resolution • Solid understanding of EOB interpretation, payment reconciliation, and accounts receivable principles • Ability to handle both primary and secondary insurance claims, including manual follow-up processes • Clear phone communication with patients and payers • Strong attention to detail, accuracy, and follow-through across all billing activities • Ability to work independently, self-direct daily tasks, and meet targets without close supervision • Reliable home office setup with a stable internet connection suitable for HIPAA-compliant remote work Preferred • Prompt EMR exper