ASC Reimbursement Specialist

Description :

The Reimbursement Specialist is responsible for the day-to-day billing of all surgeries, ensuring that all claims go out accurate and for following-up on any claims that are paid incorrectly or denied, in a timely manner

Requirements :

• Ensures that diagnosis codes and CPT codes are entered into the system accurately to post the charges daily.
• Verifies that authorization has been obtained, if applicable, before submitting the claims.
• Submits claims daily.
• Checks clearinghouse after claim submission out of computer system to make sure no corrections are necessary / fix issues that the clearinghouse catches.
• Sends out patient statements on monthly basis.
• Assists with daily payment posting.
• Ensures prompt follow-up on any claims that were paid incorrectly or denied.
• Answers patient's questions regarding billing issues.

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