Insurance Verification Specialist / Biller

Job Description

Job Description

About Us:

Advanced Heart and Vascular Associates is a growing cardiovascular practice dedicated to delivering high-quality, patient-centered care. We are seeking an experienced Medical Billing & Insurance Specialist who understands the complexities of cardiology billing and insurance processes and can confidently manage eligibility, benefits, and denial resolution.

This is a detail-driven role that requires strong knowledge of insurance verification, coding fundamentals, and patient financial communication.

Key Responsibilities:

• Verify patient insurance eligibility and benefits prior to appointments
• Accurately determine and document deductibles, co-insurance, and co-pays
• Contact patients regarding outstanding balances and answer billing-related questions professionally
• Post patient payments and reconcile accounts
• Submit medical records to insurance companies through web portals
• Follow up on insurance denials and resolve claim discrepancies
• Work with referrals and prior authorizations to ensure compliance and payment accuracy
• Maintain accurate documentation in patient accounts and billing systems

Required Qualifications:

Candidates must have hands-on experience and working knowledge of:

• Deductibles, co-insurance, and co-pays
• CPT codes and ICD-10 diagnosis codes
• Fee schedules and insurance allowables
• Referrals and prior authorizations
• Insurance claim denials and appeals processes
• Availity and other insurance eligibility/benefits web portals
• Microsoft Word (document creation and editing)
• Spreadsheet creation and modification (Excel or similar)

What We’re Looking For:

• 2+ years of medical billing or insurance verification experience (cardiology or specialty practice preferred)
• Strong understanding of commercial and Medicare insurance plans
• Detail-oriented and highly organized
• Professional and confident when speaking with patients about balances
• Ability to work independently and manage multiple priorities
• Team player with strong communication skills

Why Join Advanced Heart and Vascular Associates?

• Stable, established specialty practice
• Collaborative team environment
• Meaningful work supporting cardiovascular patient care
• Opportunity to make a direct impact on practice revenue cycle efficiency

very busy cardiology office with in house testing and procedures

Company Description

very busy cardiology office with in house testing and procedures