Medical Insurance Billing Specialist – Cardiology
Cardiac Study Center partners with Pulse Heart Institute to support outpatient cardiology care across the Puget Sound region. This role focuses on insurance claim management, denial resolution, and reimbursement tracking to help ensure accurate and timely billing operations.
Responsibilities
- 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
- 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
- Prepare, audit, and submit claims to primary and secondary payers
- Ensure accurate payment postings and balance allocations
- Adjust claims according to established billing procedures
- Participate in business office phone rotations to support inquiries from patients and external partners
- Maintain HIPAA compliance when handling patient financial information
- Document all account activity and claim updates thoroughly in billing systems
Requirements & Qualifications
Qualifications
- High school diploma or GED
- Minimum 1 year of healthcare experience
- Minimum 1 year of experience processing health insurance claims
Required 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
Benefits & Perks
Benefits and Perks
- Fully remote role for Washington State residents
- Monday through Friday schedule
- No weekends or holidays
- Medical, dental, and vision coverage
- Retirement benefits
- Paid time off
- Competitive compensation
- Tuition assistance
Location
Spokane, Washington, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 months ago