Cardiology Claims Specialist

Job Summary

A company is looking for an AR Follow Up Physician Cardio to manage physician cardio claim denials and improve processes.

Key Responsibilities

• Perform root cause analysis of physician payer denials and identify impacted procedures
• Communicate with payers to resolve payment discrepancies and file technical appeals
• Track and trend claim denials to identify process improvement initiatives

Required Qualifications

• 2-3 years of experience in healthcare revenue cycle, specializing in physician cardiology
• Associates or bachelor's degree preferred, or equivalent experience in denial management
• Documented technical skills, including proficiency in Excel, Payer Portals, and Claims Clearinghouses
• Ability to meet quality and productivity standards
• Experience with state/federal billing guidelines and reimbursement methodologies