Revenue Cycle Specialist

CardioOne; United States; On-site; USD 27,552 - 33,062; Full time

Benefits offered by this job

Medical, dental, and vision benefits

401(k) plan with match

PTO and sick time

Job summary

A healthcare technology company is looking for a detail-oriented Medical Billing and Coding Specialist. This remote role involves handling billing tasks, including patient records management, claims resolution, and effective communication with insurance providers. Ideal candidates should have knowledge of medical billing practices, attention to detail, and strong communication skills. Benefits include competitive pay and health coverage.

Qualifications

• Demonstrated knowledge of medical billing, preferably in cardiology services.
• Experience with medical office procedures and medical collections.
• Intermediate knowledge of Microsoft Office applications.

Responsibilities

• Create and maintain patient records to support billing.
• Contact patients for additional insurance information.
• Resolve claims and payment denials.

Skills

Medical billing knowledge

Attention to detail

Communication skills

Knowledge of ICD-10 and CPT codes

Familiarity with electronic medical records

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Excel

Job description

About the Company

CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. Our platform helps physician partners thrive in today’s fee‑for‑service environment and prepare for success in value‑based care. In February 2024 we partnered with WindRose Health Investors and top physician services and payer executives to grow our team and invest in our next phase of growth. CardioOne offers a magnificent work environment, good working conditions, and competitive pay. We provide medical, dental, vision, and a 401(k) plan with a match to benefit eligible employees. PTO and sick time are provided to full‑time employees. We take pride in creating a culture of employee engagement that translates into an exemplary patient experience. Join us in our mission to positively impact US cardiology.

About the Job

We are seeking a detail‑oriented Medical Billing and Coding Specialist to join our team. The ideal candidate will have a demonstrated knowledge of medical billing, preferably in cardiology services, and be an organized critical thinker comfortable working with providers, insurance companies, and in a fast‑paced environment. This role offers an exciting opportunity to dive into the heart of healthcare finance, where you’ll play a crucial part in our practice’s success while developing valuable skills for your future career growth.

What you’ll do

• Create and maintain patient records sufficiently to support billing.
• Map insurance information from hospital records to the practice EHR.
• Contact patients where additional insurance information is required.
• Answer patient inquiries regarding balances.
• Work in multiple computer systems to obtain and organize information to support billing.
• Ensure timely charge entry for all services rendered.
• Resolve claims that require pre‑bill resolution.
• Resolve payment denials.
• Oversee billing‑related inventories in multiple systems, ensuring inventory volume and aging remain within thresholds.
• Conduct reconciliation processes, ensuring no charge goes uncaptured.
• Manage communications between practice and vendor staff and organizations.
• Report status of various revenue cycle metrics and elevate issues for resolution.
• Assist in preparation of reports to share with payers when discrepancies are uncovered.

What you’ll need

• High school diploma or GED preferred.
• A passion and proficiency for medical billing, coding, and terminology.
• Knowledge of ICD‑10 and CPT codes, and modifiers.
• Experience with medical office procedures and medical collections.
• Comfort with electronic medical records systems (Athena knowledge is a bonus, Hybrid Chart familiarity is a cherry on top).
• Strong attention to detail and accuracy in data entry.
• Intermediate knowledge of Microsoft Word and Excel.
• Excellent communication skills to interact with patients, insurance companies, and healthcare providers.

Work Location

Remote: Colorado (Denver preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, Texas.

Additional Information

Full‑time base hourly rate of $20.00 to $24.00 per hour plus medical, dental, and vision benefits.