Medical Billing Specialist - Cardiology

5 - 9 years

0 Lacs

Posted:20 hours ago| Platform: Shine logo

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On-site

Job Type

Full Time

Job Description

Role Overview: As a Billing Specialist (Cardiology) at our company, you will be responsible for accurately processing cardiology-related claims, verifying insurance eligibility, maintaining compliance with billing regulations, collaborating with stakeholders, utilizing EHR/EMR systems, and monitoring accounts receivable reports in a fast-paced cardiology practice setting. Key Responsibilities: - Accurately process cardiology-related claims (CPT, ICD-10, HCPCS codes) and ensure timely submission to insurance providers. - Verify insurance eligibility, authorizations, and pre-certifications for cardiology procedures. - Maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations. - Collaborate with physicians, administrative staff, and insurance providers to resolve billing discrepancies. - Utilize EHR/EMR systems (e.g., Epic, Athenahealth, NextGen, or similar) for billing and claims processing. - Monitor accounts receivable (A/R) reports and ensure timely collections and follow-ups. Qualifications & Requirements: - Minimum of 5 years of medical billing experience in cardiology (Required). - Strong knowledge of cardiology procedures, diagnostic tests, and insurance guidelines. - Proficiency in CPT, ICD-10, and HCPCS coding specific to cardiology. - Experience with EHR/EMR and medical billing software. - Strong analytical and problem-solving skills for claim resolutions and denial management. - Excellent communication skills for patient and insurance coordination. - Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) is a plus. If you meet the above qualifications and are passionate about cardiology billing and revenue cycle management, we encourage you to apply! (Note: No additional details about the company were included in the provided job description.) Role Overview: As a Billing Specialist (Cardiology) at our company, you will be responsible for accurately processing cardiology-related claims, verifying insurance eligibility, maintaining compliance with billing regulations, collaborating with stakeholders, utilizing EHR/EMR systems, and monitoring accounts receivable reports in a fast-paced cardiology practice setting. Key Responsibilities: - Accurately process cardiology-related claims (CPT, ICD-10, HCPCS codes) and ensure timely submission to insurance providers. - Verify insurance eligibility, authorizations, and pre-certifications for cardiology procedures. - Maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations. - Collaborate with physicians, administrative staff, and insurance providers to resolve billing discrepancies. - Utilize EHR/EMR systems (e.g., Epic, Athenahealth, NextGen, or similar) for billing and claims processing. - Monitor accounts receivable (A/R) reports and ensure timely collections and follow-ups. Qualifications & Requirements: - Minimum of 5 years of medical billing experience in cardiology (Required). - Strong knowledge of cardiology procedures, diagnostic tests, and insurance guidelines. - Proficiency in CPT, ICD-10, and HCPCS coding specific to cardiology. - Experience with EHR/EMR and medical billing software. - Strong analytical and problem-solving skills for claim resolutions and denial management. - Excellent communication skills for patient and insurance coordination. - Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) is a plus. If you meet the above qualifications and are passionate about cardiology billing and revenue cycle management, we encourage you to apply! (Note: No additional details about the company were included in the provided job description.)

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