Remote Billing & AR Specialist — Claims & Denials

Rippling, Inc.

Colombia

Remote

COP 172,026,000 - 231,573,000

Full time

10 days ago
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Benefits offered by this job

Remote work
Flexible schedule

Job summary

The Auctus Group is seeking a Billing Coordinator to manage accurate charge posting, payment posting, denial resolution, and AR follow-up for services. This remote role emphasizes HIPAA compliance and precise documentation to maintain AR health and timely reimbursement.

You will process clean claims, follow up on denials, and analyze payer responses while adhering to client policies and internal workflows. Strong CPT/ICD-10 knowledge and experience with EHRs are required.

Qualifications

  • 2+ years of medical billing experience; surgical experience 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.
  • Experience with EHRs, PM systems, and clearinghouses.
  • Remote work environment requires reliable computer and high-speed internet.
  • Plastic Surgery and/or Dermatology billing is a plus.

Responsibilities

  • 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.
  • Adhere strictly to HIPAA and patient confidentiality standards at all times.

Skills

Medical Billing
Attention to detail
Communication

Tools

EHR systems
PM systems
Clearinghouses

Job description

The Auctus Group is seeking a Billing Coordinator to manage accurate charge posting, payment posting, denial resolution, and AR follow-up for services. This remote role emphasizes HIPAA compliance and precise documentation to maintain AR health and timely reimbursement.

You will process clean claims, follow up on denials, and analyze payer responses while adhering to client policies and internal workflows. Strong CPT/ICD-10 knowledge and experience with EHRs are required.

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