Medical Hospital Billing and AR Specialist

MedHQ, LLC•Wichita, KS

39d•Remote

About The Position

We are seeking an experienced Billing and Accounts Receivable (A/R) Representative with a strong background in Ambulatory Surgery Centers (ASC) and Office-Based Labs (OBL) specializing in cardiology procedures. This role is responsible for accurate claim submission, timely collections, and resolution of outstanding accounts receivable to maximize revenue cycle efficiency. The ideal candidate is detail-oriented, knowledgeable in cardiology-specific coding and billing requirements, and comfortable working independently in a fully remote environment.

Requirements

2+ years of medical billing/accounts receivable experience (preferably cardiology, ASC, or OBL).
Strong understanding of CPT/ICD-10 coding, medical terminology, and payer reimbursement guidelines.
Experience with electronic health records (EHR), practice management, and clearinghouse systems.
Knowledge of Medicare, Medicaid, and commercial insurance billing requirements.
Excellent organizational skills with strong attention to detail.
Ability to work independently and manage workload remotely.

Nice To Haves

Certified Professional Coder (CPC), Certified Professional Biller (CPB), or equivalent certification.
Prior cardiology ASC/OBL billing experience.
Familiarity with prior authorizations, appeals, and revenue cycle KPIs.

Responsibilities

Prepare, review, and submit accurate insurance and patient claims for ASC and OBL cardiology procedures.
Verify coding accuracy (ICD-10, CPT, HCPCS, modifiers) for compliance and reimbursement optimization.
Ensure proper claim submission through clearinghouses and payer portals.
Monitor and manage aging reports; follow up on unpaid or underpaid claims.
Resolve claim denials and appeals by researching payer guidelines and submitting corrected claims.
Post payments, adjustments, and denials in practice management systems accurately.
Communicate with insurance companies to expedite claim processing and collections.
Handle patient billing inquiries professionally and provide accurate account information.
Coordinate payment plans and process patient payments as needed.
Ensure compliance with all federal, state, and payer-specific billing regulations.
Maintain up-to-date knowledge of ASC and OBL cardiology reimbursement policies.
Generate and analyze billing and A/R reports to identify trends and recommend improvements.