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

\nCompany Description

very busy cardiology office with in house testing and procedures

Company Description

very busy cardiology office with in house testing and procedures