Medical Billing Specialist

Our busy cardiology practice is currently seeking a medical billing specialist. We are looking for a candidate who is experienced in billing, specifically in the areas of follow-up, claim denials and aging. A candidate who is self-motivated and works well as part of a team are extremely important. We are a private practice who values and rewards talented individuals and recognizes the importance of staff contentment in providing a positive work environment.

Position Summary

The Medical Biller (A/R & Denials Specialist) is responsible for managing the full billing cycle, with a strong focus on accounts receivable follow-up, denial resolution, and payment posting. This role ensures timely reimbursement from insurance companies and patients by identifying, correcting, and preventing claim denials and underpayments.

Key Responsibilities

• Review and process insurance claims for accuracy and compliance with payer requirements.
• Follow up on unpaid and denied claims through phone calls, payer portals, and written appeals.
• Analyze denial trends and work with management to prevent recurring issues.
• Post insurance and patient payments accurately and reconcile accounts.
• Communicate with insurance companies, patients, and internal teams to resolve billing issues.
• Maintain up-to-date knowledge of payer policies, CPT/ICD-10 coding, and billing regulations.
• Generate and review A/R aging reports to ensure timely collections.
• Document all account activity and maintain organized, compliant records.

Qualifications

• Required: High school diploma or equivalent.
• Preferred: Associate’s degree or certification in medical billing/coding (e.g., CPC, CPB, CMRS).
• 2+ years of experience in medical billing with emphasis on A/R follow-up and denial management.
• Strong understanding of EOBs, ERA postings, and payer claim adjudication processes.
• Excellent analytical, communication, and problem-solving skills.
• Ability to work independently, meet deadlines, and manage multiple priorities.

Job Type: Full-time

Pay: $18.50 - $21.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Language:

• Spanish (Preferred)

Ability to Commute:

• Tucson, AZ 85712 (Required)

Work Location: In person