CardioOne · 21 hours ago
Revenue Cycle Specialist
United States
Full-time
Remote
Mid Level
$20/hr - $24/hr
3+ years expCardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. They are seeking a detail-oriented and seasoned Revenue Cycle Specialist to manage billing processes, ensure accurate claim submissions, and facilitate communication between patients and providers.
Health CareMedicalWellness
Responsibilities
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
Qualification
Required
3+ years experience in the industry required
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
Strong attention to detail and accuracy in data entry
Intermediate knowledge of Microsoft Word and Excel
Preferred
High school diploma or GED preferred
Cardiology or diagnostic imaging experience preferred including prior authorization requirements/processes
Certified Professional Coder preferred
Comfort with electronic medical records systems (Athena Collector knowledge is preferred, Hybrid Chart familiarity is the cherry on top)
Excellent communication skills, both written and verbal, to interact with patients, insurance companies, and healthcare providers
Benefits
Medical
Dental
Vision
Company
CardioOne
CardioOne is a physician-centric partner that helps independent cardiology practices reach their full potential.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$8M2024-03-04Acquired
2023-09-18Seed· $8M
Leadership Team
Jasen Gundersen
Chief Executive Officer
Dan Jenson
CFO & Co-Founder
Recent News
2025-04-28
2025-04-25
Company data provided by crunchbase