Medical Billing Associate

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.

• 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

• 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

• 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