Revenue Cycle Specialist

Heart & Vascular Wellness Center is a growing medical practice with a focus on cardiology and internal medicine, and additional specialty services including psychiatry. We are seeking a Revenue Cycle Specialist professional who understands the full medical revenue cycle and wants meaningful ownership over billing operations—not just task-based work.

What You’ll Do: Own the full end-to-end medical revenue cycle across multiple service lines. Manage eligibility, authorizations, coding, claims, payments, accounts receivable, and appeals. Communicate directly with Medicare, Medi-Cal, commercial payers, and third-party administrators. Step in fully to maintain billing continuity when coverage is needed.

Participate in revenue cycle policy development, revision, implementation, and operational improvement. Submit clean claims to payers and follow up on denials or unpaid accounts. Review CPT, ICD-10, and HCPCS codes for accuracy. Post payments and reconcile EOBs and ERAs. Communicate with insurance companies and patients regarding balances.

Assist with appeals and documentation support. Ensure compliance with Medicare, Medi-Cal, and commercial payer guidelines. Assign accurate ICD-10, CPT, and HCPCS codes based on clinical documentation. What We’re Looking For: Medical billing or Revenue Cycle Specialist experience. Strong understanding of insurance claims processing and AR management.

Ability to work independently with accuracy, discretion, and accountability. Legal Notices: At-Will Employment: Employment with Heart & Vascular Wellness Center is at will and may be terminated at any time, with or without cause or notice, subject to applicable law. Equal Employment Opportunity: Heart & Vascular Wellness Center is an Equal Opportunity Employer and does not discriminate on the basis of any protected status under federal or state law.

Reasonable Accommodation: Reasonable accommodations are provided to qualified individuals with disabilities in accordance with applicable federal and state laws.