Medical Biller (Remote)

Company:
Advanced Cardiac Care PLLC (Florida and New York-based Cardiology Practice)

Job Overview:
Advanced Cardiac Care PLLC is seeking an experienced Medical Biller to join our growing team. The ideal candidate will have a strong background in medical billing, insurance credentialing, claims management, and accounts receivable follow-ups. You will play a critical role in ensuring accurate and timely submission of claims, maximizing reimbursements, and supporting the practice’s revenue cycle management.

This role requires a detail-oriented, self-motivated, and independent professional who is familiar with cardiology billing, ECW (E-Clinical Works), and insurance protocols, especially in Florida and New York.

Key Responsibilities:
Prepare and submit clean claims to insurance companies electronically or by paper.
Manage accounts receivable and follow up on unpaid or denied claims.
Verify insurance eligibility and benefits for patients prior to services.
Obtain prior authorizations and pre-certifications for procedures as required.
Post payments and reconcile Explanation of Benefits (EOBs) and Electronic Funds Transfers (EFTs).
Communicate with insurance companies for claim status inquiries and appeals.
Review medical records to ensure accurate CPT, ICD-10, and HCPCS coding, especially for cardiology services.
Handle patient billing, statements, and follow up on outstanding balances.
Generate reports on accounts receivable, claim denials, and reimbursement trends.
Work closely with providers and staff to ensure proper documentation and coding.
Maintain compliance with payer guidelines, Medicare/Medicaid policies, and HIPAA regulations.
Stay updated with industry changes, coding updates, and insurance policies (MIPS/PQRS knowledge is a plus).

Qualifications:
Minimum 3-5 years of medical billing experience (Cardiology billing is highly preferred).
Proficiency in E-Clinical Works (ECW), clearinghouses (such as Trizetto), and payer portals.
Strong knowledge of CPT, ICD-10, and HCPCS coding systems.
Experience with J-Codes and fee schedule analysis is a plus.
Familiarity with insurance credentialing, CAQH, and provider enrollment.
Solid understanding of AR management, payment posting, and reconciliation.
Strong communication skills for interacting with insurance representatives and patients.
Excellent organizational skills, attention to detail, and the ability to work independently.
Proficient in Microsoft Excel, Google Sheets, and reporting tools.
Knowledge of MIPS/PQRS programs is advantageous.
Must have experience working with US-based practices, preferably Florida and New York.

Work Schedule:
Full-time
Monday to Friday
9:00 AM – 5:00 PM EST (Eastern Standard Time)

Benefits:
Competitive salary (commensurate with experience)
Paid time off (PTO)
Remote work opportunity
Professional development opportunities
Supportive and collaborative team environment