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AI Summary

The Billing Coordinator manages the end-to-end revenue cycle, including claim submission, payment posting, and denial resolution. They ensure compliance with payer guidelines and maintain accurate documentation within the billing system.

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** 


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