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Role Description

This role requires a detail-oriented and proactive Medical Billing Associate to support billing and reimbursement operations for our Independent Diagnostic Testing Facility (IDTF). This role plays a critical part in ensuring accurate and timely billing for cardiac diagnostic services, including data derived from wearable and ambulatory cardiac monitoring devices.

• Prepare, review, and submit professional and technical claims for cardiac diagnostic services in compliance with payer, CMS, and IDTF regulations
• Ensure accurate CPT, HCPCS, ICD-10, and modifier usage related to cardiac monitoring and diagnostic testing
• Validate completeness of physician orders, patient demographics, insurance eligibility, and supporting documentation prior to claim submission
• Monitor claim status, identify delays, and follow up with commercial payers, Medicare, and Medicaid as needed
• Research, analyze, and resolve claim denials, rejections, and underpayments; submit appeals with supporting documentation
• Post payments, adjustments, and denials accurately and in a timely manner
• Maintain compliance with CMS, HIPAA, and IDTF billing requirements
• Identify trends in denials or reimbursement issues and proactively escalate concerns to leadership
• Support internal and external audits by providing requested billing documentation and explanations
• Work closely with clinical operations, device/data teams, and customer support to resolve billing discrepancies
• Communicate professionally with providers' offices and patients regarding billing questions, when needed
• Assist with process improvements to increase billing accuracy, turnaround time, and collections

Qualifications

• 2+ years of experience in medical billing, revenue cycle, or claims processing
• Working knowledge of CPT, ICD-10, HCPCS coding and medical billing workflows
• Experience billing Medicare and commercial payers
• Strong attention to detail and ability to manage high volumes of claims accurately
• Proficiency with billing systems, EHRs, or practice management platforms - NextGen preferred
• Comfortable working in a fast-paced, regulated healthcare environment

Requirements

• Experience in cardiology, cardiac monitoring, diagnostics, or IDTF environments
• Familiarity with ambulatory cardiac monitoring codes and workflows (e.g., Holter, patch monitors, event monitors)
• Experience with denial management and appeals
• CPC, CPB, or similar billing/coding certification
• Prior experience working with a remote or distributed team

Benefits

• Optional Remote work opportunity
• 401(k)
• Dental insurance
• Health insurance
• Vision insurance
• Life insurance
• Paid time off

Company Description

Wearlinq is reimagining ambulatory cardiac monitoring with the first FDA-cleared, real-time, six-lead EKG designed to be easier for patients, clinicians, and health systems alike. We sit at the intersection of clinical cardiology, hardware, software, and data, building products that turn complex cardiac signals into clear, actionable insights.