Medical Biller and Credentialing Specialist - Pediatric Speech, OT, & ABA

Overview: Medical Biller & Credentialing Specialist - Pediatric Speech, OT & ABA

Reno-Tahoe Therapy Group | Reno / Carson City, NV

-In-Person Placement. NO remote applicants

Full-time only · 8 hours/day · Monday–Friday

We’re a clinician-owned pediatric clinic serving families across the Reno-Tahoe area with speech therapy, occupational therapy, and ABA. We treat kids like family and run a small team.

This is a one-person billing and credentialing role for the whole practice. You will own the revenue cycle for speech, OT, and ABA — eligibility, authorizations, claims, payments, denials, appeals, and AR — and keep clinicians credentialed with payers so billing can actually go out. You won’t be one person in a large billing department. You’ll be the person who runs billing and credentialing here, with direct access to the clinic director and the clinical team when you need information or a documentation fix.

I’m the clinic director. I read every application myself and will actually call or email you. No ghosting.

This role is for someone who

• Wants to own billing and credentialing, not just process claims
• Follows work through to the end
• Notices issues early and handles them
• Keeps AR from sitting and payer enrollment from stalling
• Communicates clearly with clinicians, payers, and families
• Takes pride in accuracy and follow-through

If you like being the billing and credentialing person for a small practice - not a ticket in a queue - this fits.

What you’ll do

Billing

• Ensure claims are clean for timely automated submission for speech (e.g. 92507), OT (e.g. 97530), and ABA (e.g. 97151, 97153, 97155) to Nevada Medicaid and commercial payers
• Support the team for accurate verification of eligibility and benefits from the get-go
• Track and obtain authorizations / re-authorizations so care doesn’t stall
• Post unposted payments that were not automatically posted, reconcile EOBs, and actively manage accounts receivable
• Identify system errors that need support to improve efficiency
• Work denials and underpayments — correct, resubmit, and appeal until resolved
• Partner with clinicians and front office when documentation or coding needs a fix
• Keep records accurate and HIPAA-tight
• Flag payer-policy changes that affect pediatric therapy billing
• Create a system of procedures for efficient and thorough billing processes

Credentialing

• Complete and track provider enrollment and credentialing with Medicaid and commercial payers
• Maintain CAQH / payer profiles, licenses, NPI, insurance, and supporting documents
• Follow up on pending applications, re-credentialing, and demographic updates
• Coordinate with clinicians to collect what’s needed so files stay complete
• Keep a clear tracker of who is in-network, pending, or due for renewal
• Create a system of procedures for efficient and thorough credentialing processes

Schedule

• Full-time starting November 9th, 2026 (part-time [15-30 hours/week] if on boarded before that)
• 8 hours per day, 5 days per week (Monday–Friday)
• Clinic hours — no evenings, no weekends

What we’re looking for

• 2 years of medical billing (pediatric therapy, ABA, speech, or OT strongly preferred)
• Experience with provider credentialing / payer enrollment (or strong willingness to own it and learn our payers quickly)
• Comfort with CPT/ICD-10, modifiers, unit-based ABA billing, and Medicaid commercial rules
• Experience with a practice-management / EMR system and a clearinghouse (we’ll train on ours)
• Strong ownership, organization, and follow-through
• Calm and professional with payers and families
• Comfortable working independently as the practice’s biller and credentialing lead

Nice to have: CentralReach, Raintree, or similar pediatric/ABA software; CAQH; CPB or equivalent; Nevada Medicaid experience.

What we offer

• Competitive pay (discussed with qualified candidates)
• Bonuses available
• Full-time, 40 hours/week
• Small, supportive team and direct access to leadership
• Benefits for qualifying hours
• A role that matters: clean billing and current credentialing keep kids in therapy, opportunity to help build strong foundations for a small yet growing practice

How to apply: Apply on Indeed with your resume.

I’ll review it personally.

Reno-Tahoe Therapy Group is an equal opportunity employer.

Benefits:

• 401(k)
• Health insurance
• Health savings account
• Paid time off

Application Question(s):

• How many years you’ve billed pediatric therapy, ABA, speech, and/or OT?
• What credentialing / payer enrollment you’ve handled?
• Which software and payers you’ve used?
• One example of a billing or credentialing problem you took ownership of and closed out?

Work Location: In person

Salary : $58,057 - $97,311