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ASC Billing and Coding Specialist
2 months ago
As an Ambulatory Surgery Center Billing and Coding Specialist, you will play a vital role in ensuring the accuracy and efficiency of facility claims, contributing significantly to the revenue flow of our ASC. In our fast-paced environment, we are looking for a detail-oriented individual with extensive knowledge in billing, collections, and reimbursement of claims processing. You should be professional, trustworthy, and possess excellent communication and negotiation skills, with the ability to work both independently and collaboratively with other business office staff. If you have a deep understanding of facility claims reimbursement and collection efforts, we want to meet you
Responsibilities
- Audit OP Notes, Anesthesia reports, consent forms, demographics, and other documents to ensure all patient data is accurate and valid. Research and correct any discrepancies.
- Create claims and assign the appropriate CPT Codes (procedures) and ICD-10 Codes (diagnosis) for Personal Injury claims performed at our ASC’s.
- Manage and track all claims submissions across multiple entities/providers, including reviewing, investigating, and resubmitting pending or missing claims as needed.
- Follow up on outstanding A/R for all payers, including handling correspondence related to insurance carriers and patients to maximize payments and resolve issues.
- Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
- Send medical necessity documentation to insurance companies as required to support claims.
- Other duties as assigned.
What About Benefits?
More than just pay, as a member of our team, you will have access to our comprehensive package of benefits that includes:
- Medical, dental, and vision insurance
- Voluntary Life, AD&D, short-term and long-term disability coverage
- 401K retirement program
- Paid time off (PTO)
- Tuition reimbursement
- Employee-only perks and discounts.
Minimum Qualifications
- Minimum high school diploma or GED.
- Associate's degree in Health Information Management or related field, preferred
- Certification as a Coding Specialist (CCS) or Certified Professional Coder (CPC), required or 2+ years of Ambulatory Surgery coding experience in lieu of certification.
- 2+ years of Billing/Accounts Receivable experience in an ASC setting, experience in interventional pain is a plus.
- 2 - 3 years of experience with EMR software. Preferably eClinicalWorks software within the ASC module.
- Ability to operate independently with minimal supervision.
- Strong attention to detail and organizational skills.
- Capable of multitasking effectively, prioritizing, and completing responsibilities in a timely manner.
- Effective communication and follow-up with coworkers, patients, providers, and insurance carriers.
- Maintain a positive and professional demeanor in the office, over the phone, and via email.
- Proficient in using Windows, Office 365 (Word, Excel, OneNote, Adobe, EMR systems), and other similar technologies.
Physical Requirements
Prolonged periods sitting at a desk and working on a computer
Must be able to lift up to 15 pounds at times
About Us
Join our dynamic team at Arizona Pain, a leading integrated pain clinic where collaboration and patient-centric care are at the core of our practice. Since 2015, we have helped thousands of Arizonans significantly reduce their pain through advanced treatments. Our multidisciplinary approach brings together physical medicine, med management, and ambulatory surgical techniques to deliver comprehensive pain management solutions. Our diverse team of dedicated professionals is committed to improving our patients' quality of life. When you join us, you’ll be part of a community that works together to grow, achieve more, and change lives for the better.
What To Do Next?
We review applications on a first-come, first-served basis. If you are ready to make a difference and be part of a like-minded team that grows, develops, and changes lives, click the button on this page to apply now.
Arizona Pain is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
