[Hiring] Billing Coordinator @The Auctus Group

Role Description

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.

• Process and submit clean claims for professional and surgical services.
• Post payments, adjustments, and resolve discrepancies.
• Follow up on unpaid, underpaid, and denied claims.
• Work AR across all aging buckets with focus on timely resolution.
• Review EOBs and payer responses to identify next actions.
• Maintain clear and accurate documentation in the billing system.
• Escalate complex issues to the Team Lead as needed.
• Comply with payer rules, client policies, and internal workflows.
• Analyze billed services to ensure claims meet coding, compliance, and reimbursement requirements.
• Apply and review modifiers, identify CPT/NCCI issues, understand reimbursement impacts, and recommend claim corrections (coding knowledge required; coding from op notes not required).
• Adhere strictly to HIPAA and patient confidentiality standards at all times.
• 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.