Billing Coordinator - IDR

About The Auctus Group LLC Who we are: We’re big on people and culture at the Auctus Group. Our most important role as a company is to provide an amazing working environment for our team. 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-savvy, experienced, go-getter types. You’ll do well if: you like a fast-paced environment, you thrive with change and development, you like giving feedback, you’re a team player, you love learning/sleuthing, you’re big on accountability. About The Role The Billing Coordinator - IDR supports Revenue Cycle Management and Independent Dispute Resolution activities for out-of-network and underpaid healthcare 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. What You'll Do 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 open negotiation or IDR. Assist with gathering and organizing documentation needed for IDR cases. Track important case dates, payer responses, filing deadlines, and follow-up requirements. Support open negotiation and IDR workflows according to established procedures. Maintain accurate documentation of claim activity, communications, submissions, and outcomes. Work accounts receivable across aging buckets with a focus on timely reimbursement and resolution. Review payment discrepancies and assist with payment reconciliation. Coordinate with IDR Managers, Revenue Cycle Managers, Billers, and other team members to resolve claim issues. Escalate complex, high-risk, 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 when appropriate. Adhere strictly to HIPAA and patient confidentiality requirements. Perform additional duties as assigned to support Revenue Cycle and IDR operations. Qualifications 2+ years of medical billing, accounts receivable, denial management, or related Revenue Cycle Management experience. Strong understanding of healthcare claims, EOBs, ERAs, denials, underpayments, and payer follow-up. Knowledge of CPT, ICD-10, modifiers, and payer guidelines. Familiarity with professional and/or surgical billing. Strong attention to detail and ability to work with large volumes of claims and documentation. Strong organizational and time-management skills. Ability to track multiple deadlines and follow-up activities accurately. Strong written and verbal communication skills. Comfortable communicating with payers and internal team members. Experience using EHRs, practice 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 perform job duties efficiently in a remote work environment. Preferred Qualifications Experience with Independent Dispute Resolution (IDR), the No Surprises Act, or open 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.