Vascular Surgery Medical Billing Specialist

The Cardiovascular Care Group; Clifton (NJ); On-site; USD 55,000 - 75,000; Full time

Job summary

The Cardiovascular Care Group in New Jersey seeks an experienced Medical Biller to ensure accurate posting of insurance and patient payments and aggressive follow-up of outstanding balances. On-site five days a week, you will work with payers like UnitedHealthcare, Aetna, and Horizon BCBS, handling denials, appeals, and AR management.

The ideal candidate has substantial surgical billing experience, particularly in vascular surgery, and excels in posting EOBs/ERAs/EFTs, reconciling remittances,

Qualifications

• Minimum 3 years of medical billing experience with a primary focus on insurance accounts receivable and payment posting.
• Minimum 3 years of surgical practice billing experience required; vascular surgery experience strongly preferred.
• Extensive experience posting EOBs, ERAs, EFTs, and manual payments.
• Proven success resolving insurance denials, underpayments, and aging accounts receivable.
• Strong working knowledge of UnitedHealthcare, Aetna, Horizon BCBS, Medicare, and commercial payer reimbursement methodologies.
• Experience preparing and submitting reconsiderations, corrected claims, and formal appeals.
• Thorough understanding of medical terminology, insurance billing practices, CPT, ICD-10, modifiers, and claim adjudication processes.
• Proficiency with electronic health record (EHR) and practice management systems.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication skills.

Responsibilities

• Post insurance and patient payments from EOBs, ERAs, EFTs, lockbox files, credit cards, cash, and paper checks.
• Reconcile remittance advice to ensure payments, adjustments, and patient responsibilities are correctly applied.
• Research underpayments, overpayments, variances, and reimbursement discrepancies.
• Balance daily payment posting batches and reconcile to bank deposits and practice management records.
• Maintain documentation of all payment transactions and remittance records.
• Manage assigned insurance A/R work queues and follow up on outstanding claims.
• Analyze unpaid, partially paid, and denied claims for root cause and corrective action.
• Conduct payer follow-up via portals, phone, and written communication.
• Monitor aging reports and prioritize accounts to maximize collections.
• Escalate complex issues to Billing Management.
• Review denial codes, payer policies, and coding-related denials.
• Prepare and submit reconsiderations, corrected claims, and formal appeals.
• Collaborate with providers and staff to obtain documentation for appeals.
• Track appeal status and follow up through final resolution.
• Understand surgical billing concepts including global periods, modifiers, and payer guidelines.
• Review surgical claims for completeness and identify issues impacting reimbursement.
• Support vascular billing functions as needed.
• Maintain electronic records and respond to inquiries regarding billing matters.
• Assist with special projects and revenue cycle initiatives.

Skills

Medical billing

Surgical billing

Denials management

Payer knowledge

Communication skills

Education

High School Diploma

Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field

Medical Billing or Coding certification

Tools

EHR systems

Practice management systems

Job description

The Cardiovascular Care Group in New Jersey seeks an experienced Medical Biller to ensure accurate posting of insurance and patient payments and aggressive follow-up of outstanding balances. On-site five days a week, you will work with payers like UnitedHealthcare, Aetna, and Horizon BCBS, handling denials, appeals, and AR management.

The ideal candidate has substantial surgical billing experience, particularly in vascular surgery, and excels in posting EOBs/ERAs/EFTs, reconciling remittances,