What are the responsibilities and job description for the ASC Reimbursement Specialist position at Piedmont Outpatient Surgery Center LLC?
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.