Biller - Claim Management & Accounts Receivable, OB-GYN Revenue Cycle Team

Hera Women's Health•Las Vegas, NV

19d•Hybrid

About The Position

We are seeking an experienced, detail-oriented Biller to join our OB-GYN Revenue Cycle Team. This is a hybrid position, offering a mix of remote work and on-site responsibilities. The ideal candidate has strong expertise in claim management, accounts receivable follow-up, and appeals, along with deep knowledge of Nevada and Arizona payers.

Requirements

OB-GYN billing experience required (maternity, women's health, global billing, L&D services, etc.).
Strong knowledge of Nevada and Arizona payers, including Medicaid programs (e.g., Nevada Medicaid, AHCCCS).
Demonstrated expertise in: Claim management Accounts receivable follow-up Denial resolution Appeals and reconsiderations
Strong analytical, communication, and organizational skills.
Ability to work independently in a fast-paced, hybrid environment.

Nice To Haves

Experience with AthenaOne EMR is helpful but not required.

Responsibilities

Manage the full lifecycle of claims-from submission to posting and payment resolution.
Conduct comprehensive AR follow-up to ensure timely reimbursement.
Work denials, rejections, and underpayments efficiently and accurately.
Identify payer trends and escalate recurring issues to Revenue Cycle leadership.
Maintain organized documentation, claim logs, and follow-up reports.
Prepare and submit detailed appeals for denied or improperly processed claims.
Communicate professionally with payer representatives to resolve complex issues.
Ensure all appeals comply with payer-specific policies and include all required documentation.
Review charges and clinical documentation for completeness prior to submission.
Collaborate with patient registration, providers, and clinical staff to resolve billing-related discrepancies.
Maintain up-to-date knowledge of payer policies-especially Nevada Medicaid, Arizona Medicaid (AHCCCS), and regional commercial plans.