The Billing Coordinator is responsible for managing the revenue cycle, including charge and payment posting, denial resolution, and AR follow-up. They must ensure claims are submitted accurately while complying with payer rules, coding requirements, and HIPAA standards.
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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