Bilingual Medical Billing Specialist (Spanish)

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 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

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

Originally posted on Himalayas