[Hiring] Bilingual Medical Billing Specialist @Rockstar

Role Description

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.

Qualifications

• 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

Requirements

• Prompt EMR experience is a strong plus
• Familiarity with other healthcare EMR and billing platforms (e.g., WebPT, Raintree, or similar)
• Experience with Medicare, workers' compensation, and out-of-network billing
• Background working with multi-provider or high-volume clinic environments
• Comfort with Google Workspace, Microsoft Office (Word/Excel), and cloud-based communication tools

Benefits

• 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