Cardiology Claims Specialist

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

May 13, 2025 - 22:16

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