ASC Reimbursement Specialist

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

*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.