Copy of Billing Coordinator
The Auctus Group · 16 hours ago
About The Role
- The Billing Coordinator is responsible for accurate charge posting, payment posting, denial resolution, and AR follow-up for services. This role plays a critical part in maintaining AR health and ensuring timely reimbursement.
What You'll Do
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Process and submit clean claims for professional and surgical services.
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Post payments, adjustments, and resolve discrepancies.
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Follow up on unpaid, underpaid, and denied claims.
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Work AR across all aging buckets with focus on timely resolution.
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Review EOBs and payer responses to identify next actions.
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Maintain clear and accurate documentation in the billing system.
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Escalate complex issues to the Team Lead as needed.
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Comply with payer rules, client policies, and internal workflows.
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Analyze billed services to ensure claims meet coding, compliance, and reimbursement requirements.
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Apply and review modifiers, identify CPT/NCCI issues, understand reimbursement impacts, and recommend claim corrections (coding knowledge required; coding from op notes not required).
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Adhere strictly to HIPAA and patient confidentiality standards at all times.
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Perform additional duties as assigned to support revenue cycle operations.
Qualifications
- 2+ years of medical billing experience; professional and surgical experience strongly preferred.
- Knowledge of CPT, ICD-10, modifiers, and payer guidelines.
- Familiarity with global periods and surgical billing concepts.
- Strong attention to detail and time management skills.
- Detail-oriented with strong organizational and communication skills.
- Experience with EHRs, PM systems, and clearinghouses.
- Candidates must have a reliable computer and high-speed internet to perform job duties efficiently in a remote work environment.
- Plastic Surgery and/or Dermatology billing is a plus**********
