Full Cycle - Medical Billing Specialist

Full Cycle Revenue Billing Specialist

Growing Vascular center located in Martin County seeks a Full Cycle Revenue Billing Specialist to work directly with their internal billing department of four (4).

This position will require a strong focus on details and a keen understanding of all aspects of billing within the cardiac/vascular outpatient space.

Additionally, you will be responsible for decreasing the amount of rejections, denials and ADR's on existing and future billing. Understanding the full billing cycle of individual practices and understanding where the hurdles are in that process will be pivotal to your success.

Responsibilities:

• Enter charges for claim creation of all services rendered.


• Communicate directly with providers when information received to complete claims is incomplete or inaccurate.


• Obtain prior authorizations for procedures.


• Process credit card payments from patient calls, mail in or credit cards on file.


• Print and mail secondary claims.


• Monitor and contact insurance claims remaining unpaid after 60 days.


• Review daily tasks for denials or insurance follow ups.


• Appeal and correct insurance denials.


• Contact patients with unpaid balances.


• Prepare approvals for internal and external collections process.


• Additional tasks as needed.

AAPC certification would be a plus.. This position is on-site only, no remote work.

The preferred candidate will have:

• 2+ years experience billing for cardiovascular services or 2+ years of similar billing (ex. outpatient surgical billing)


• Complete understanding of RCM


• Proven track record of reducing receivables and reduction of denials


• 2+ Years team management


• Experience with software MedStreaming now FIVOS A PLUS!