Cardiology Medical Billing Specialist

📋 Description

• Submit clean and precise claims for cardiology services.

• Oversee and resolve denied, rejected, and underpaid claims, including handling appeals and payer follow-up.

• Analyze EOBs and remittance advice to identify denial patterns and underlying causes.

• Resolve claims while adhering to established revenue cycle KPIs (e.g., first-pass acceptance rate, denial turnaround time, AR days).

• Utilize eClinicalWorks EMR for charge entry, claim submission, and payment posting.

• Confirm insurance eligibility, benefits, and authorization requirements.

• Communicate with commercial payers, Medicare, and Medicaid to address claim issues.

• Ensure compliance with HIPAA regulations and maintain billing accuracy standards.

⛳️ Requirements

• Minimum of 3 years of billing experience in cardiology.

• Proven track record in denial management, appeals, and claims follow-up.

• Strong understanding of CPT, ICD-10, and ADA coding standards.

• Familiarity with eClinicalWorks or similar EMR systems.

• Highly organized, detail-oriented, and motivated by KPIs.

🏝️ Benefits

• Employer covers 90% of health benefits.

• Paid PTO and vacation time.

• 401K plan is available.

• Dental and vision benefits are offered.