What are the responsibilities and job description for the Biller - Claim Management & Accounts Receivable, OB-GYN Revenue Cycle Team position at Hera Women's Health?
Job Title: Biller - Claim Management & Accounts Receivable, OB-GYN Revenue Cycle Team
Position: Full-Time
Location: Las Vegas – Hybrid 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.
Key Responsibilities
Claim Management & Accounts Receivable
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Position: Full-Time
Location: Las Vegas – Hybrid 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.
Key Responsibilities
Claim Management & Accounts Receivable
- 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
- 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
- Experience with AthenaOne EMR is helpful but not required
- Strong analytical, communication, and organizational skills
- Ability to work independently in a fast-paced, hybrid environment
- Hybrid position (mix of remote and on-site work)
- Full-time schedule, Monday-Friday
- Competitive compensation
- Medical, dental, and vision
- Paid Time Off (PTO) and holiday pay
- Retirement savings plan with employer match after 1 year of service
- Supportive, collaborative 08-GYN Revenue Cycle Team
- Opportunities for career growth and advancement
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