Copy of Billing Coordinator

The Auctus Group Ltd; United States; Remote; USD 50,000 - 75,000; Full time

Job summary

The Auctus Group Ltd is seeking a Billing Coordinator to manage charge posting, payment posting, denial resolution, and AR follow-up, ensuring timely reimbursement and AR health.

You will process clean claims, post payments, follow up on denial trends, review EOBs, and maintain precise billing documentation while adhering to HIPAA in a remote work environment.

Qualifications

• 2+ years of medical billing experience; surgical experience preferred.
• Strong knowledge of CPT, ICD-10, modifiers and payer guidelines.
• Experience with EHRs, PM systems, and clearinghouses.
• Reliable remote worker with a capable computer and fast 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 aging buckets with 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.
• Perform additional duties as assigned to support revenue cycle operations.

Skills

CPT & ICD-10 knowledge

Payer guidelines knowledge

Attention to detail

Communication skills

HIPAA compliance

Tools

EHRs

PM systems

Clearinghouses

Job description

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

• 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 **