ASC Billing Specialist

ASC Billing Specialist

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members : Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more.

Purpose : Performs all duties required to accurately capture charges, post payments and appropriate adjustments, research and process refunds, assist patients with billing inquiries and follow up on unpaid patient balances. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

Essential Functions :

Charge entry :

• Checks coding service portal for pending items and enters charges into Epic.
• Interprets managed care contracts and fee schedules to ensure charges are coded and claims processed correctly.
• Verifies insurance information on file and updates if necessary
• Checks for implants and works with materials manager or ASC Business Office Manager for pricing accuracy.
• Reviews authorizations and referrals to match coding files.
• Resolves work queue rules and edits.
• Notifies facility team members of any discrepancies in scheduling and coding.
• Follows up on pending queries.
• Monitors Waystar (clearinghouse) for rejections, updates and resubmits claim in Epic.

Payment posting :

Patient Account and collections :

Refunds and adjustments :

Other duties and responsibilities :

Qualifications :

Education and Experience :

Required : High school diploma or GED. Two (2) or more years of related experience working with medical billing in an ASC facility setting.

Preferred : Experience working with ANSI denial codes, CPT, ICD-9 and HCPCS coding. Experience using computer data processing systems.

Knowledge, Skills and Abilities :

Work Schedule : Monday through Friday from 8am to 5pm.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.