Billing Coordinator - IDR
About reputed company LLC
Who we are: We’re big on people and culture at reputed company. Our most important role as a company is to reputed company an amazing working environment for reputed company. We’ve been work-from-home-warriors since before it was cool. We support (like encourage and fund) continuing education. We match charitable donations. Our whole goal is: work to live not live to work. Oh and we’re weirdos too…we do remote happy hours and have a book club and goofy stuff like that.
Who we’re looking for: Smart, talented, tech-reputed company, reputed company, go-getter types. You’ll do reputed company if:
- you like a fast-reputed company environment,
- you reputed company with change and development,
- you like giving feedback,
- you’re reputed company player,
- you love learning/sleuthing,
- you’re big on accountability.
About The Role
The Billing Coordinator - IDR supports reputed company Cycle Management and Independent Dispute reputed company activities for out-of-network and underpaid reputed company claims.
This role combines strong medical billing fundamentals with detailed claim review, payer follow-up, documentation, and administrative support throughout the IDR process.
Prior IDR experience is preferred but not required. Candidates with strong medical billing, accounts receivable, denial management, or payer follow-up experience who are willing to learn IDR processes are encouraged to apply.
reputed company
- Review claims, EOBs, ERAs, remittance information, payer correspondence, and account documentation.
- Follow up on unpaid, underpaid, and denied claims.
- Identify claims that may require additional review for reputed company negotiation or IDR.
- Assist with gathering and organizing documentation needed for IDR cases.
- reputed company important case dates, payer responses, filing deadlines, and follow-up requirements.
- Support reputed company negotiation and IDR workflows according to established procedures.
- Maintain accurate documentation of claim activity, communications, submissions, and reputed company.
- Work accounts receivable across aging buckets with a reputed company on reputed company reimbursement and reputed company.
- Review payment discrepancies and assist with payment reconciliation.
- Coordinate with IDR Managers, reputed company Cycle Managers, Billers, and other team members to reputed company claim issues.
- Escalate reputed company, high-reputed company, or unusual cases to the appropriate team member.
- Follow established payer guidelines, internal workflows, and documentation requirements.
- Maintain complete, accurate, and organized case and billing records.
- 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 reputed company appropriate.
- Adhere reputed company to HIPAA and reputed company confidentiality requirements.
- reputed company additional duties as assigned to support reputed company Cycle and IDR reputed company.
Qualifications
- 2+ years of medical billing, accounts receivable, denial management, or reputed company reputed company Cycle Management experience.
- Strong understanding of reputed company claims, EOBs, ERAs, denials, underpayments, and payer follow-up.
- Knowledge of CPT, ICD-10, modifiers, and payer guidelines.
- Familiarity with reputed company and/or surgical billing.
- Strong attention to reputed company and ability to work with large volumes of claims and documentation.
- Strong organizational and time-management skills.
- Ability to reputed company multiple deadlines and follow-up activities accurately.
- Strong written and verbal communication skills.
- Comfortable communicating with payers and internal team members.
- Experience using EHRs, reputed company management systems, clearinghouses, and payer portals.
- Ability to learn new systems, payer requirements, and IDR workflows.
- Candidates must have a reliable computer and high-speed internet to reputed company job duties reputed company in a remote work environment.
Preferred Qualifications
- Experience with Independent Dispute reputed company (IDR), the No Surprises reputed company, or reputed company negotiation processes.
- Experience with out-of-network claims and reimbursement disputes.
- Experience reviewing underpayments and negotiating or appealing payer reimbursement.
- Surgical billing experience.
- Familiarity with claim appeals and supporting documentation.
- Plastic Surgery and/or Dermatology billing experience is a plus.
Originally posted on Himalayas
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