Bilingual Medical Billing Specialist (Spanish)

Virtual Rockstar; Polska; Hybrid; PLN 202,000 - 303,000; Full time

Job summary

Rockstar is seeking a highly skilled, bilingual Medical Billing Specialist (Spanish/English) for full-time remote work to support a pediatric outpatient practice. You will manage denials, authorizations, insurance verification, and the end-to-end billing cycle, ensuring timely reimbursement and HIPAA-compliant processes.

Ideal candidates have 2+ years of medical billing experience, Medicaid exposure, and proficiency with EMR and billing platforms.

Qualifications

• Fluent Spanish and English, spoken and written, with bilingual billing capabilities
• 2+ years hands-on medical billing experience, not entry-level
• Medicaid billing experience (Nevada Medicaid and managed care plans)
• Outpatient therapy billing experience (OT/PT/speech), pediatric preferred
• Proven experience managing full revenue cycle: submission, posting, A/R follow-up, denials
• Strong knowledge of insurance billing processes, payer requirements and reimbursements
• Experience with denials management: research, correct, appeal and track
• EOB interpretation, payment reconciliation, and A/R principles
• Ability to handle primary and secondary claims, including manual follow-up
• Clear, professional communication with patients and payers
• HIPAA-compliant remote work setup
• Familiarity with EMR and billing platforms (WebPT, Raintree)
• Medicare, workers' comp, and out-of-network billing experience
• Experience in multi-provider or high-volume clinic environments
• Proficiency with Google Workspace and MS Office tools

Responsibilities

• Review denied claims, research reasons, and determine action
• Prepare and submit appeals with documentation
• Track denial trends and report findings to leadership
• Follow up on appealed claims until resolution
• Obtain and track prior authorizations, verify eligibility and benefits
• Follow up on referrals and scripts to keep billing current
• Process and submit insurance claims via EMR and clearinghouses
• Manage full billing cycle: creation, submission, tracking, follow-up
• Handle primary/secondary claims with Medicaid and managed care
• Ensure correct coding and payer-specific requirements
• Correct discrepancies, rebill as needed, and maintain audit-ready docs
• Post payments and reconcile accounts receivable
• Generate monthly statements and billing/a/r reports
• Communicate billing details with patients in English/Spanish
• Maintain HIPAA-compliant remote work practices
• Generate performance reports and assist with admin tasks

Skills

Bilingual Spanish-English

Denials management

Insurance verification

Accounts receivable

Phone support

Tools

EMR systems

Clearinghouse systems

WebPT

Raintree

Google Workspace

Microsoft Excel

Job description

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 escalated 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 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

WHAT WE LOOK FOR

• Ownership: you treat the practice's A/R like your own and don't let claims sit unresolved
• Expertise: you can read an EOB, identify why a claim was denied, and know exactly what to do next
• Initiative: when something is off, you flag it, fix it, and help prevent it from happening again
• Reliability: your client team counts on your daily output; you show up, you deliver, and you communicate clearly
• Professionalism: you handle patient billing calls with patience, empathy, and accuracy
• 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