Medical Billing Specialist

Immediate hire for an experienced Medical Billing Specialist to join a busy cardiology practice.

This role is responsible for the accurate submission, follow-up, and resolution of medical claims to support timely reimbursement while maintaining compliance with payer guidelines and HIPAA regulations. The ideal candidate is detail-oriented, organized, and experienced in cardiology billing, insurance claims, and denial management.

Responsibilities

• Prepare, review, and submit electronic and paper insurance claims accurately and on time.
• Monitor claim status and resolve rejections, denials, and payment discrepancies.
• Verify patient demographics, insurance eligibility, and billing information.
• Review medical documentation and coding to ensure accurate claim submission.
• Work with insurance companies to resolve billing issues and maximize reimbursement.
• Process claim corrections, appeals, and resubmissions as needed.
• Maintain accurate billing records in the EHR and practice management system.
• Reconcile charges, payments, and explanations of benefits (EOBs).
• Ensure compliance with Medicare, Medicaid, commercial payer guidelines, and HIPAA.
• Collaborate with providers and staff to resolve billing questions and improve revenue cycle performance.
• Participate in ongoing training and perform additional duties as assigned.