Revenue Cycle Specialist

Job Description

Job Description

Heart & Vascular Wellness Center is a growing medical practice with a focus on cardiology and internal medicine, and additional specialty services including psychiatry. We are seeking a Revenue Cycle Specialist professional who understands the full medical revenue cycle and wants meaningful ownership over billing operations—not just task-based work.

 
What You’ll Do:  

• Own the full end-to-end medical revenue cycle across multiple service lines.
• Manage eligibility, authorizations, coding, claims, payments, accounts receivable, and appeals. 
• Communicate directly with Medicare, Medi-Cal, commercial payers, and third-party administrators.
• Step in fully to maintain billing continuity when coverage is needed. 
• Participate in revenue cycle policy development, revision, implementation, and operational improvement. 
• Submit clean claims to payers and follow up on denials or unpaid accounts.
• Review CPT, ICD-10, and HCPCS codes for accuracy.
• Post payments and reconcile EOBs and ERAs.
• Communicate with insurance companies and patients regarding balances.
• Assist with appeals and documentation support.
• Ensure compliance with Medicare, Medi-Cal, and commercial payer guidelines.
• Assign accurate ICD-10, CPT, and HCPCS codes based on clinical documentation.

What We’re Looking For:  

• Medical billing or Revenue Cycle Specialist experience. 
• Strong understanding of insurance claims processing and AR management.
• Ability to work independently with accuracy, discretion, and accountability. 

Legal Notices:
At-Will Employment: 

Employment with Heart & Vascular Wellness Center is at will and may be terminated at any time, with or without cause or notice, subject to applicable law. 

Equal Employment Opportunity:

Heart & Vascular Wellness Center is an Equal Opportunity Employer and does not discriminate on the basis of any protected status under federal or state law. 

Reasonable Accommodation:

Reasonable accommodations are provided to qualified individuals with disabilities in accordance with applicable federal and state laws.