Billing Coordinator III

Job Summary

Working remotely, the full-time Billing Coordinator III will manage the mapping of claims, produce appeals to insurance carriers, and collaborate with cross-functional teams to resolve denial-related issues while ensuring accurate processing of genetic testing claims.

Key responsibilities

• Ensure claims are correctly mapped through research and validation, focusing on payer rejections and denials
• Produce accurate appeals to secure payment from insurance carriers
• Review payer medical policies to identify root causes of denials and follow up on outstanding issues

Required qualifications

• High School Diploma or GED or equivalent
• 3 years or more of experience with Explanation of Benefits (EOBs), denial types, and insurance denial codes
• Basic skills in MS Outlook and PowerPoint, and intermediate skills in MS Excel
• Ability to manage time and tasks independently while maintaining productivity
• Experience working in a fast-paced and changing team environment