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),