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.