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.