Medical Hospital Billing and AR Specialist

Billing and AR Specialist COMPANY MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker’s Top 150 Places to Work in Healthcare company. The MedHQ LLC service line offerings have grown organically over the years, beginning by providing high quality traditional human resource, accounting, and staff credentialing as a Professional Employer Organization, (PEO.) In 2022, MedHQ formed a relationship with 424 Capital, and quickly expanded into a well-rounded, menu services driven financial management company. This robust infusion of expert service line offerings has resulted in MedHQ and MedHQ clients’ efficiencies and growth. The MedHQ, LLC, menu of client services include Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services. For additional detailed information please review www.medhq.com and www.trajectoryrcs.com Position Summary We are seeking an experienced Billing and Accounts Receivable (A/R) Representative with a strong background in Ambulatory Surgery Centers (ASC) and Office-Based Labs (OBL) specializing in cardiology procedures. This role is responsible for accurate claim submission, timely collections, and resolution of outstanding accounts receivable to maximize revenue cycle efficiency. The ideal candidate is detail-oriented, knowledgeable in cardiology-specific coding and billing requirements, and comfortable working independently in a fully remote environment.

Key Responsibilities

• Billing & Claims Processing
• Prepare, review, and submit accurate insurance and patient claims for ASC and OBL cardiology procedures.
• Verify coding accuracy (ICD-10, CPT, HCPCS, modifiers) for compliance and reimbursement optimization.
• Ensure proper claim submission through clearinghouses and payer portals.
• Accounts Receivable Management
• Monitor and manage aging reports; follow up on unpaid or underpaid claims.
• Resolve claim denials and appeals by researching payer guidelines and submitting corrected claims.
• Post payments, adjustments, and denials in practice management systems accurately.
• Communicate with insurance companies to expedite claim processing and collections.
• Patient Account Support
• Handle patient billing inquiries professionally and provide accurate account information.
• Coordinate payment plans and process patient payments as needed.
• Compliance & Reporting
• Ensure compliance with all federal, state, and payer-specific billing regulations.
• Maintain up-to-date knowledge of ASC and OBL cardiology reimbursement policies.
• Generate and analyze billing and A/R reports to identify trends and recommend improvements.

Qualifications

• Required:
• 2+ years of medical billing/accounts receivable experience (preferably cardiology, ASC, or OBL).
• Strong understanding of CPT/ICD-10 coding, medical terminology, and payer reimbursement guidelines.
• Experience with electronic health records (EHR), practice management, and clearinghouse systems.
• Knowledge of Medicare, Medicaid, and commercial insurance billing requirements.
• Excellent organizational skills with strong attention to detail.
• Ability to work independently and manage workload remotely.
• Preferred:
• Certified Professional Coder (CPC), Certified Professional Biller (CPB), or equivalent certification.
• Prior cardiology ASC/OBL billing experience.
• Familiarity with prior authorizations, appeals, and revenue cycle KPIs.

Skills & Competencies

• Strong written and verbal communication skills.
• Problem-solving and critical thinking in resolving claim/payment issues.
• Ability to prioritize tasks and meet deadlines in a remote work setting.
• Professional, dependable, and confidential handling of sensitive information.

FULL TIME BENEFITS

• Employer sponsored Major Medical
• Employer sponsored Dental
• Employer sponsored Vision
• Accidental Death and Disability insurance
• Short term disability
• 4.5% 401K matching
• Flexible spending account
• Generous paid time off
• True opportunity for advancement

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