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Medical Billing & Claims Specialist — Cardiology/wound
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Tulsa Cardiovascular Center of Excellence
Tulsa, OK (In Person)
$46,800 Salary, Full-Time
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Job Description
Medical Billing & Claims Specialist — Medicare/Commercial Insurance We are a Tulsa-based cardiovascular healthcare practice seeking an experienced Medical Billing & Claims Specialist to manage medical claims submission, payer follow-up, denial resolution, and account reconciliation for Medicare and commercial insurance payers. This position is best suited for someone who has hands-on experience submitting clean medical claims, correcting rejected claims, following up on unpaid claims, working payer portals, and helping maximize timely reimbursement. Prior experience with Medicare, Medicare Advantage, and major commercial insurance carriers is strongly preferred. Responsibilities Prepare, review, and submit accurate medical claims to Medicare, Medicare Advantage, and commercial insurance payers. Review claim rejections, denials, and payer correspondence; identify the cause and take corrective action. Follow up on unpaid, underpaid, denied, or delayed claims. Work A/R aging reports and prioritize accounts based on timely filing limits, payer rules, and reimbursement risk. Verify claim status through payer portals, clearinghouse systems, and direct payer communication. Post and reconcile insurance payments, adjustments, denials, and patient responsibility as needed. Communicate with internal clinical and administrative staff to resolve documentation, coding, authorization, or payer issues. Maintain accurate account notes and document all claim follow-up activity. Assist with appeals, corrected claims, reconsiderations, and payer documentation requests. Help ensure billing practices are consistent with payer requirements, Medicare rules, and practice policies. Required Experience Minimum 1 year of medical billing, claims submission, or revenue cycle experience . Direct experience submitting and following up on Medicare and commercial insurance claims. Experience working claim rejections, denials, unpaid claims, and A/R follow-up. Familiarity with CPT, ICD-10, modifiers, payer rules, EOBs/ERAs, and clearinghouse workflows. Comfortable using payer portals and practice management or EHR billing systems. Strong attention to detail, follow-through, and documentation habits. Ability to communicate professionally with payers, patients, and internal staff. Preferred Experience Cardiology, cardiovascular, vascular, wound care, internal medicine, specialty practice, or outpatient medical billing experience. Experience with Medicare Advantage plans. Experience with appeals, corrected claims, reconsiderations, and timely filing issues. CPC, CPB, CBCS, or other billing/coding certification preferred but not required if the candidate has strong practical experience. Experience with eligibility verification, prior authorization, or referral requirements is helpful. Schedule Full-time, Monday through Friday. In-office position in Tulsa, Oklahoma. Compensation compensation is based on strong cardiology billing, denial management, claims follow-up, and Medicare/commercial payer experience. Benefits 25 days of PTO and Holiday Pay Health insurance Dental/vision insurance 401(k) Ideal Candidate The right candidate is organized, accurate, persistent, and experienced in working claims from submission through payment. We are looking for someone who understands that successful billing requires more than data entry — it requires payer knowledge, follow-up discipline, denial resolution, and ownership of the revenue cycle.