Medical Billing Specialist

Cardiac Study Center; United States; Sur place; USD 27 552 - 49 593; Plein temps

Avantages offerts par ce poste

Medical, dental, and vision coverage

Retirement benefits

Paid time off

Tuition assistance

Competitive compensation

Résumé du poste

Cardiac Study Center is seeking a Medical Insurance Billing Specialist for cardiology billing in a fully remote role, open to Washington state residents.

You will manage claims, appeals, denials, and postings with HIPAA compliance, partnering with insurers and internal teams to ensure accurate reimbursement and timely patient care.

The role offers a Monday–Friday schedule with no weekends, contributing to a stable, specialty-focused billing environment within a trusted cardiovascular care partner.

Qualifications

• High School Diploma or GED required.
• 1 year of healthcare experience required.
• 1 year of health insurance claims processing required.
• Knowledge of CMS-1500, COB, PHI and medical terminology.
• Experience using payer websites to verify eligibility and claim status.
• Strong organizational and time-management skills.
• Detail-oriented with a high level of accuracy.
• Strong communication with insurers and internal teams.

Responsabilités

• Verify claim status with insurers and request reprocessing when needed.
• Submit and track insurance appeals and corrected claims.
• Review aging reports to resolve outstanding claims.
• Investigate denials and determine corrective action.
• Prepare, audit, and submit claims to primary and secondary payers.
• Ensure accurate payment postings and balance allocations.
• Maintain HIPAA compliance and document all account activity.

Connaissances

CMS-1500 forms

COB

PHI

Medical terminology

Insurance payer portals

Organizational skills

Time management

Attention to detail

Communication skills

Formation

High School Diploma or GED

Outils

Insurance payer portals

Description du poste

Medical Insurance Billing Specialist – Cardiology

Cardiac Study Center
Remote (Washington State Only) - Candidates must reside in WA state at the time of hire
Full-Time | Monday–Friday | No Weekends or Holidays

About Us

Cardiac Study Center (CSC) partners with Pulse Heart Institute to deliver trusted outpatient cardiology care across the Puget Sound region for over 50 years. In 2016, CSC joined with MultiCare Health System to form Pulse Heart Institute—bringing together clinical excellence, innovation, research, and education to improve heart health in our communities.

Through this partnership, CSC provides essential operational and revenue cycle support that allows Pulse to focus on delivering exceptional cardiovascular care. Our billing and business office teams play a critical role in ensuring the financial health of the organization while supporting a seamless patient care experience.

Why You'll Love Working With Us

• Fully remote role for Washington State residents
• Monday–Friday schedule — no weekends or holidays
• Stable healthcare organization with over 50 years of service
• Collaborative business office environment
• Opportunity to develop expertise in specialty cardiology billing
• Supportive team culture focused on accuracy, growth, and accountability

About the Role

As a Medical Insurance Billing Specialist, you play a vital role in ensuring the financial accuracy and efficiency of our cardiology billing operations. This role focuses on insurance claim management, denial resolution, and tracking reimbursement patterns to ensure claims are processed correctly and promptly.

You will work closely with insurance companies, internal departments, and the broader business office team to resolve billing issues, analyze claim trends, and ensure compliance with healthcare billing standards. Your work directly supports the financial sustainability of our clinics and helps ensure patients receive uninterrupted care.

What You'll Love About This Role

• You get to solve complex billing challenges. If you enjoy investigating claims, identifying denial patterns, and finding solutions, this role keeps you engaged.
• Your work directly supports patient care. Accurate billing and timely reimbursements ensure clinics can continue delivering high-quality cardiac services.
• You'll deepen your expertise in specialty medical billing. Cardiology billing offers unique complexity and learning opportunities.
• Structured work with clear priorities. This role rewards organization, focus, and attention to detail.
• Strong weekday schedule. No weekends or holidays means predictable work-life balance.li>

Day-to-Day Responsibilities

Claims Management

• Contact insurance companies to verify claim status and request reprocessing when needed
• Submit and track insurance appeals and corrected claims
• Review and analyze aging reports to resolve outstanding claims

Denial Analysis & Resolution

• Investigate insurance denials and determine appropriate corrective action
• Identify denial patterns and report trends to improve billing processes
• Coordinate with internal staff to resolve billing discrepancies

Billing Operations

• Prepare, audit, and submit claims to primary and secondary payers
• Ensure accurate payment postings and balance allocations
• Adjust claims according to established billing procedures

Communication & Compliance

• Participate in business office phone rotations to support inquiries from patients and external partners
• Maintain strict compliance with HIPAA when handling patient financial information
• Document all account activity and claim updates thoroughly in billing systems

What You'll Need to Succeed

Minimum Qualifications

• High School Diploma or GED
• Minimum 1 year of healthcare experience
• Minimum 1 year of experience processing health insurance claims

Required Knowledge & Skills

• Understanding of CMS-1500 claim forms, coordination of benefits (COB), PHI, and medical terminology
• Experience using insurance payer websites to verify eligibility and claim status
• Strong organizational and time-management skills
• Detail-oriented with a high commitment to accuracy
• Strong communication skills for working with insurance companies and internal teams

Work Environment

• Schedule: Full-time
• Shift: Monday–Friday
• Location: Fully remote (must reside in Washington State at the time of hire)
• Department: Business Office / Revenue Cycle Operations

Pay & Benefits

Cardiac Study Center / Pulse Heart Institute offers a comprehensive benefits package, including:

• Medical, dental, and vision coverage
• Retirement benefits
• Paid time off
• Competitive compensation
• Tuition Assistance

Pay Range: $19.67 – $35.67/hour

Compensation is determined based on experience, skills, certifications, and education, consistent with internal equity and pay transparency requirements.

Requisition ID: 00779