Cardiology Medical Billing Specialist

We are seeking an experienced Medical Billing Specialist with expertise in claims submission and denial management specifically in Cardiology. This role is ideal for a detail-oriented professional who understands payer requirements and drives results by improving first-pass claim acceptance, denial resolution time, and accounts receivable performance.

Key Responsibilities:

• Submit clean, accurate claims for cardiology services
• Manage and resolve denied, rejected, and underpaid claims, including appeals and payer follow-up
• Review EOBs and remittance advice to identify denial trends and root causes
• Work claims to resolution while meeting defined revenue cycle KPIs such as first-pass acceptance rate, denial turnaround time, and AR days
• Utilize eClinicalWorks EMR for charge entry, claim submission, and payment posting
• Verify insurance eligibility, benefits, and authorization requirements
• Communicate with commercial payers, Medicare, and Medicaid to resolve claim issues
• Maintain HIPAA compliance and billing accuracy standards

Qualifications:

• 3+ years experience in cardiology billing
• Demonstrated success in denial management, appeals, and claims follow-up
• Strong working knowledge of CPT, ICD-10, and ADA coding
• Experience with eClinicalWorks or comparable EMR systems
• Highly organized, detail-oriented, and KPI-driven

Preferred Experience:

• Minimum 5 years of cardiology billing experience
• Experience managing payer correspondence and formal appeals
• Comfortable working toward measurable revenue cycle outcomes

Compensation:

• $18-$22 per hour
• Benefits eligibility varies based on hours worked