Medical Billing Associate
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Job Description
Medical Billing Associate ensuring accurate billing and claims management for cardiac diagnostic services. Collaborating with clinical operations and resolving billing discrepancies in a fast-paced healthcare environment.
Responsibilities:
- Prepare, review, and submit professional and technical claims for cardiac diagnostic services in compliance with payer, CMS, and IDTF regulations
- Ensure accurate CPT, HCPCS, ICD-10, and modifier usage related to cardiac monitoring and diagnostic testing
- Validate completeness of physician orders, patient demographics, insurance eligibility, and supporting documentation prior to claim submission
- Monitor claim status, identify delays, and follow up with commercial payers, Medicare, and Medicaid as needed
- Research, analyze, and resolve claim denials, rejections, and underpayments; submit appeals with supporting documentation
- Post payments, adjustments, and denials accurately and in a timely manner
- Maintain compliance with CMS, HIPAA, and IDTF billing requirements
- Identify trends in denials or reimbursement issues and proactively escalate concerns to leadership
- Support internal and external audits by providing requested billing documentation and explanations
- Work closely with clinical operations, device/data teams, and customer support to resolve billing discrepancies
- Communicate professionally with providers’ offices and patients regarding billing questions, when needed
- Assist with process improvements to increase billing accuracy, turnaround time, and collections
Requirements:
- 2+ years of experience in medical billing, revenue cycle, or claims processing
- Working knowledge of CPT, ICD-10, HCPCS coding and medical billing workflows
- Experience billing Medicare and commercial payers
- Strong attention to detail and ability to manage high volumes of claims accurately
- Proficiency with billing systems, EHRs, or practice management platforms - NextGen preferred
- Comfortable working in a fast-paced, regulated healthcare environment
- Experience in cardiology, cardiac monitoring, diagnostics, or IDTF environments (preferred)
- Familiarity with ambulatory cardiac monitoring codes and workflows (e.g., Holter, patch monitors, event monitors)
- Experience with denial management and appeals
- CPC, CPB, or similar billing/coding certification (preferred)
Benefits:
- Optional Remote work opportunity
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
- Life insurance
- Paid time off
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