Cardiology and Vascular Billing Specialist

National Kidney Partners • Port Richey, FL

2d • Onsite

About The Position

We are seeking a detail-oriented Cardiology and Vascular Authorization and Billing Specialist to join our team in Port Richey, FL. This role is responsible for ensuring timely insurance approvals (prior authorizations) for cardiac procedures and vein treatments, while managing accurate billing, coding (ICD-10, CPT), and reimbursement processes. The ideal candidate will prevent denials by verifying benefits, providing clinical documentation to payers, and coordinating with clinical staff for peer-to-peer reviews.

Requirements

• Previous experience in cardiology or vascular medical billing/authorizations is a must.
• Detailed knowledge of medical terminology, CPT/ICD-10 coding, and insurance payer requirements.
• Proficiency in MS Office (Excel, Word) and EHR systems.
• Strong attention to detail, multitasking, and ability to work in fast-paced environments.

Responsibilities

• Obtain authorization for appointments, tests, and complex vascular/cardiovascular procedures by reviewing clinical documentation and understanding payor guidelines.
• Partner with physicians to gather medical necessity documentation for insurance reviews.
• Utilize ICD-10 and CPT codes to ensure proper coding for procedural reimbursement and reduce claim denials.
• Verify patient eligibility and coverage for specialized services (e.g., vein studies, structural heart studies).
• Research and appeal denied claims.
• Inform patients of financial responsibilities, including deductibles and self-pay estimates.
• Use electronic health records (EHR) such as Epic Systems and payer portals to manage cases.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed