Insurance & Revenue Cycle Specialist (Plastic Surgery) at coordinators.pro | Torre
Insurance & Revenue Cycle Specialist (Plastic Surgery)
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Insurance & Revenue Cycle Specialist (Plastic Surgery)

You'll maximize revenue and secure vital care for patients by mastering high-value out-of-network claims.
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Full-time

Legal agreement: Employment

USD75.4K - 100K/year

~COP150M - 200M/year

+ Equity

+ Bonuses

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Remote (for United States residents)
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Emma of Torre.ai
1 day ago

Requirements and responsibilities


In plastic surgery billing, the real money sits out-of-network, where most billers quietly give up. If you're the one who chases a five-figure claim until it's paid in full, this seat was built for you.What You'll DoOwn prior authorizations for in-network and out-of-network proceduresDrive AR follow-up until the practice collects what it's actually owedFight denials and appeals, including coordinating peer-to-peer reviewsTrack and secure payment on high-dollar procedures, start to finishHandle LOAs and payer negotiations, including out-of-network reimbursementPost charges, claims, and payments in Nextech and keep every status currentWhat We're Looking ForMedical billing and revenue cycle experience (plastic surgery strongly preferred)Gender-affirming care billing experience (required)Hands-on experience with Harvard Pilgrim and Cigna (required)Strong with prior auths, AR follow-up, and denial managementComfortable with both in-network and out-of-network workflows and high-value claimsNextech experience is a plusIf you need someone else to chase the hard claims for you, this role will frustrate youWhy Join The Coordinators?Fully remoteA role tied directly to revenue, where your wins are visibleReal room to grow, not a title with no ladderWork that supports patients through procedures that matter to them
Optionally, you can add more information later (benefits, pre-screening questions, etc.)
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