Cardiology Medical Billing Specialist

 Posted an hour ago
     
 $18 - $22 per hour
  
2-5 years experience
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AI Summary

The specialist is responsible for submitting clean cardiology claims and managing the resolution of denied or underpaid claims. They will utilize eClinicalWorks to track revenue cycle KPIs and communicate with payers to resolve billing issues.

Medical Billing Specialist (Medical, Cardiology) – Remote (U.S. Only)
Employment Type: Part-Time
Location: Remote (U.S. residents only)

APPLY ONLY IF YOU HAVE CARDIOLOGY MEDICAL BILLING AND LIVE IN THE U.S.A.

About the Role
We are seeking an experienced Medical Billing Specialist with expertise in claims submission and denial management specifically with 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 (AR) 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 (e.g., first-pass acceptance rate, denial turnaround time, 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 of billing experience 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

  • 5 years min. of cardiology Billing Experience
  • Experience managing payer correspondence and formal appeals.
  • Comfort working toward measurable revenue cycle outcomes.

Compensation

  • Compensation: $18-$22/hour
  • Benefits eligibility varies based on hours worked.

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