ASC Billing Specialist

ABOUT AUSTIN REGIONAL CLINIC:

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. For additional information visit

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.