Medical Billing Associate

WearLinq•Rockville, MD

4d•$43,000

About The Position

This role requires a detail-oriented and proactive Medical Billing Associate to support billing and reimbursement operations for our Independent Diagnostic Testing Facility (IDTF). This role plays a critical part in ensuring accurate and timely billing for cardiac diagnostic services, including data derived from wearable and ambulatory cardiac monitoring devices. The ideal candidate has hands-on experience with medical billing workflows, payer requirements, and denial resolution—particularly in cardiology or diagnostic testing environments—and is comfortable working with clinical data, device-generated reports, and physician orders.

Requirements

2+ years of experience in medical billing, revenue cycle, or claims processing
Working knowledge of CPT, ICD-10, HCPCS coding and medical billing workflows
Experience billing Medicare and commercial payers
Strong attention to detail and ability to manage high volumes of claims accurately
Proficiency with billing systems, EHRs, or practice management platforms - NextGen preferred
Comfortable working in a fast-paced, regulated healthcare environment

Nice To Haves

Experience in cardiology, cardiac monitoring, diagnostics, or IDTF environments
Familiarity with ambulatory cardiac monitoring codes and workflows (e.g., Holter, patch monitors, event monitors)
Experience with denial management and appeals
CPC, CPB, or similar billing/coding certification
Prior experience working with a remote or distributed team

Responsibilities

Prepare, review, and submit professional and technical claims for cardiac diagnostic services in compliance with payer, CMS, and IDTF regulations
Ensure accurate CPT, HCPCS, ICD-10, and modifier usage related to cardiac monitoring and diagnostic testing
Validate completeness of physician orders, patient demographics, insurance eligibility, and supporting documentation prior to claim submission
Monitor claim status, identify delays, and follow up with commercial payers, Medicare, and Medicaid as needed
Research, analyze, and resolve claim denials, rejections, and underpayments; submit appeals with supporting documentation
Post payments, adjustments, and denials accurately and in a timely manner
Maintain compliance with CMS, HIPAA, and IDTF billing requirements
Identify trends in denials or reimbursement issues and proactively escalate concerns to leadership
Support internal and external audits by providing requested billing documentation and explanations
Work closely with clinical operations, device/data teams, and customer support to resolve billing discrepancies
Communicate professionally with providers’ offices and patients regarding billing questions, when needed
Assist with process improvements to increase billing accuracy, turnaround time, and collections