Medical Billing Specialist

Job description

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