Pediatric Medical Biller - A/R & Denials Expert (Onsite)

ADP, Inc.; Henderson (NV); On-site; USD 42,000 - 61,000; Full time

Job summary

Nevada Pediatric Specialists is seeking a Medical Biller to manage claims, follow‑up, and patient accounts in a high‑volume pediatric practice in Henderson, NV. You will be responsible for AR follow‑up, denial resolution, and ensuring accurate claim processing.

The ideal candidate has 1+ year of medical billing experience, knowledge of Medicaid/MCOs and commercial insurance, and strong problem-solving skills to optimize revenue and patient communication.

Qualifications

• 1+ year medical billing experience
• Experience with Medicaid & MCOs and commercial insurance
• Strong AR follow-up, denials and appeals processes
• Ability to work in a high-volume environment

Responsibilities

• Manage AR follow‑up and denials
• Review EOBs/ERAs for accurate posting
• Submit and track appeals and corrected claims
• Resolve COB issues and insurance discrepancies
• Communicate with insurers and patients about claims
• Support patient balance resolution and payment plans
• Handle billing calls and provide patient support

Skills

A/R follow-up

Denials

Appeals

Insurance eligibility

Claim resolution

EOBs/ERAs

COB issues

Patient communication

Tools

eClinicalWorks (eCW)

Job description

Nevada Pediatric Specialists is seeking a Medical Biller to manage claims, follow‑up, and patient accounts in a high‑volume pediatric practice in Henderson, NV. You will be responsible for AR follow‑up, denial resolution, and ensuring accurate claim processing.

The ideal candidate has 1+ year of medical billing experience, knowledge of Medicaid/MCOs and commercial insurance, and strong problem-solving skills to optimize revenue and patient communication.