Full-Time | In Office | Symmetry Vascular Position Summary Symmetry Vascular is seeking an experienced Medical Biller with required hospital billing experience to join our in-house revenue cycle team. This is not an entry-level billing position. The ideal candidate will have strong experience handling both professional and hospital-based surgical claims , including claim preparation, submission, payer follow-up, denials, appeals, underpayments, and accounts receivable. Experience with hospital surgical billing is required . Candidates whose experience is limited to routine office or primary care billing will not be considered. Responsibilities Review claims for accuracy and completeness prior to submission Bill hospital-based surgical and procedural services Submit claims to Medicare, Medicare Advantage, commercial insurance, and other payers Review operative documentation and ensure claims are supported appropriately Work closely with coding staff to resolve coding, modifier, documentation, and claim-edit issues Monitor rejected, denied, unpaid, and underpaid claims Perform payer follow-up and work insurance A/R Prepare and submit corrected claims, reconsiderations, and appeals Track timely filing requirements and prevent filing-limit write-offs Review EOBs and ERAs for payment accuracy Identify bundling, modifier, authorization, medical necessity, and payer-policy issues Follow up on hospital surgical claims through final resolution Research payer guidelines, LCDs/NCDs, and claim-processing requirements when needed Maintain thorough documentation of payer calls, claim status, appeals, and follow-up activity Identify recurring denial or reimbursement trends and communicate them to management Assist with medical-record requests and insurance reviews Work collaboratively with physicians, coders, clinical staff, front office, and administration Maintain HIPAA compliance and patient confidentiality Required Qualifications Hospital billing experience is required Minimum 3 years of medical billing experience preferred Experience billing physician services performed in a hospital setting Strong knowledge of surgical and procedural billing Experience working insurance denials, appeals, A/R, and underpayments Working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and medical necessity requirements Experience with Medicare and commercial insurance billing Strong understanding of timely filing requirements and payer-specific billing rules Ability to independently research claim issues and pursue resolution Strongly Preferred Vascular surgery billing experience Interventional radiology, cardiology, general surgery, or other surgical specialty billing experience Experience with complex vascular procedures and hospital operative claims eClinicalWorks (eCW) experience Experience billing both hospital and office-based procedures What We Are Looking For We are looking for someone who takes ownership of the revenue cycle . Submitting a claim is only the beginning. Our biller should be comfortable determining why a claim rejected, denied, underpaid, or remained unpaid and taking the appropriate steps to resolve it. The ideal candidate is detail-oriented, persistent, organized, and able to identify billing patterns before they develop into larger revenue-cycle problems. Schedule Full-time, in-office position. Compensation Competitive compensation based on experience and qualifications. To Apply Please submit your resume and include a brief description of your hospital billing experience , including: Number of years of hospital billing experience Surgical or specialty billing experience Experience with Medicare and commercial payers Experience with denials, appeals, and A/R Experience with eClinicalWorks, if applicable Hospital billing experience is required for consideration.