Revenue Cycle Specialist

About the Company

The next generation of independent cardiology is being built here. CardioOne is a physician-led, technology-driven cardiology platform built to empower independent practices to compete, and win, in a rapidly evolving healthcare landscape. Our mission is to provide cardiologists with the tools, infrastructure, and expertise they need to thrive while maintaining full clinical independence. We believe the best care is delivered by physicians who are empowered - not constrained - by the systems around them. We combine a deep bench of healthcare operators with purpose-built technology and AI-enabled solutions across operations, revenue cycle, imaging, and practice development. From real estate and advanced imaging to clinical workflows and data infrastructure, CardioOne delivers a fully integrated platform designed to drive growth, efficiency, and superior patient outcomes.

Backed by WindRose Health Investors and leading healthcare executives, CardioOne is building one of the most sophisticated and scalable cardiology MSOs in the country - designed to reimagine what is possible for independent cardiology.

About the Job

We are seeking a detail-oriented Revenue Cycle Specialist to join our growing team! The ideal candidate will have a demonstrated knowledge of medical billing, preferably in cardiology services. We seek an organized critical thinker with billing knowledge and who is comfortable working with providers, insurance companies, and in a fast-paced environment. This role offers an exciting opportunity to dive into the heart of healthcare finance, where you'll play a crucial part in our practice's success while developing valuable skills for your future career growth.

What you’ll do:

• Ensure that insurance information is entered correctly for successful claim submission and payment.

• Communicate with Patients to ensure understanding of patient balance, billing concerns, projected out of pocket expenses and correct insurance information is on file,

• Work in multiple computer systems to obtain and organize information to support billing

• Resolve claims that require pre-bill resolution

• Resolve payment denials

• Oversee billing-related inventories in multiple systems, ensuring inventory volume and aging remains within thresholds

• Conduct reconciliation processes, ensuring no charge goes uncaptured

• Manage communications between practice and vendor staff and organizations

• Reports status of various revenue cycle metrics and escalates issues for resolution.

• Assists in preparation of reports to share with payers when discrepancies are uncovered.

What you’ll need:

• High school diploma or GED preferred

• 3+ years experience in the industry required

• Cardiology or diagnostic imaging experience preferred including prior authorization requirements/processes

• Certified Professional Coder preferred

• Strong understanding of Insurance products and claim processing

• Knowledge of claim formatting and transmission guidelines

• Detailed understanding of EOB/ERA data and impact on financial responsibility.

• A passion and proficiency for patient advocacy.

• Knowledge of ICD-10 and CPT codes, and modifiers

• Experience with medical office procedures and medical collections

• Comfort with electronic medical records systems (Athena Collector knowledge is preferred, Hybrid Chart familiarity is the cherry on top)

• Strong attention to detail and accuracy in data entry

• Intermediate knowledge of Microsoft Word and Excel

• Excellent communication skills, both written and verbal, to interact with patients, insurance companies, and healthcare providers
  

Work Location:
Remote: Colorado (Denver preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, Texas.

Additional Information
Full-time base hourly rate of $20.00 to $24.00 per hour plus medical, dental, and vision. Pay is negotiable depending on certifications.