Medical Billing Specialist

Medical Insurance Billing Specialist – Cardiology Cardiac Study Center Remote (Washington State Only) - Candidates must reside in WA state at the time of hire Full-Time | Monday–Friday | No Weekends or Holidays About Us Cardiac Study Center (CSC) partners with Pulse Heart Institute to deliver trusted outpatient cardiology care across the Puget Sound region for over 50 years. In 2016, CSC joined with MultiCare Health System to form Pulse Heart Institute—bringing together clinical excellence, innovation, research, and education to improve heart health in our communities. Through this partnership, CSC provides essential operational and revenue cycle support that allows Pulse to focus on delivering exceptional cardiovascular care. Our billing and business office teams play a critical role in ensuring the financial health of the organization while supporting a seamless patient care experience. Why You'll Love Working With Us Fully remote role for Washington State residents Monday–Friday schedule — no weekends or holidays Stable healthcare organization with over 50 years of service Collaborative business office environment Opportunity to develop expertise in specialty cardiology billing Supportive team culture focused on accuracy, growth, and accountability About the Role As a Medical Insurance Billing Specialist , you play a vital role in ensuring the financial accuracy and efficiency of our cardiology billing operations. This role focuses on insurance claim management, denial resolution, and tracking reimbursement patterns to ensure claims are processed correctly and promptly. You will work closely with insurance companies, internal departments, and the broader business office team to resolve billing issues, analyze claim trends, and ensure compliance with healthcare billing standards. Your work directly supports the financial sustainability of our clinics and helps ensure patients receive uninterrupted care. What You'll Love About This Role You get to solve complex billing challenges. If you enjoy investigating claims, identifying denial patterns, and finding solutions, this role keeps you engaged. Your work directly supports patient care. Accurate billing and timely reimbursements ensure clinics can continue delivering high-quality cardiac services. You'll deepen your expertise in specialty medical billing. Cardiology billing offers unique complexity and learning opportunities. Structured work with clear priorities. This role rewards organization, focus, and attention to detail. Strong weekday schedule. No weekends or holidays means predictable work-life balance.li> Day-to-Day Responsibilities Claims Management 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 Denial Analysis & Resolution 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 Billing Operations Prepare, audit, and submit claims to primary and secondary payers Ensure accurate payment postings and balance allocations Adjust claims according to established billing procedures Communication & Compliance Participate in business office phone rotations to support inquiries from patients and external partners Maintain strict compliance with HIPAA when handling patient financial information Document all account activity and claim updates thoroughly in billing systems What You'll Need to Succeed Minimum Qualifications High School Diploma or GED Minimum 1 year of healthcare experience Minimum 1 year of experience processing health insurance claims Required Knowledge & 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 Work Environment Schedule: Full-time Shift: Monday–Friday Location: Fully remote (must reside in Washington State at the time of hire) Department: Business Office / Revenue Cycle Operations Pay & Benefits Cardiac Study Center / Pulse Heart Institute offers a comprehensive benefits package, including: Medical, dental, and vision coverage Retirement benefits Paid time off Competitive compensation Tuition Assistance Pay Range: $19.67 – $35.67/hour Compensation is determined based on experience, skills, certifications, and education, consistent with internal equity and pay transparency requirements. Requisition ID: 00779 #J-18808-Ljbffr Cardiac Study Center