ASC Reimbursement Coordinator

Job Description: ASC REIMBURSEMENT COORDINATOR

General Summary:
The ASC Reimbursement Coordinator is responsible for all collections duties including, but not limited to,
estimating the patients financial responsibility prior to the date of surgery, contacting the patient prior to
surgery to inform them of the estimated financial responsibility, insurance verification, and establish a
payment plan if needed, all follow-up on delinquent accounts, assisting with other office duties as
assigned including, but not limited to, scheduling, phone triage registration, filing, and medical records.
Main Responsibilities:
• Verify Insurance on all patients prior to date of service using Encircle Health, insurance websites,
and/or calling insurance customer service
• Review and make corrections as needed to the patient’s insurance and demographic information to
ensure correct clean claims
• Ensure pre-authorizations are obtained by the physician’s office
• Calculate the patient financial responsibility using insurance benefits received.
• Contact patient’s prior to the procedure to notify them of their financial responsibility
• Setup payment arrangements if the patient is not able to pay in full
• Complete insurance Advance Beneficiary Notification or Non-covered Services Waiver for insurance
that may not cover the cost of the procedure
• Responsible for timely follow-up on patient accounts
• Inform Office Manager of any issues regarding patient accounts and possible patient or physician
satisfaction related events
• Collect patient payments made over the counter or over the phone and enter on daily log
• Assist co-workers as needed

Qualifications

Education/Experience/Knowledge:
• High School diploma required
• One year medical billing experience preferred
• Strict adherence to HIPAA guidelines and regulations with regard to providing highest levels of patient
confidentiality
• Excellent written and verbal communication skills
• Attention to detail and the ability to concentrate
• Strong computer skills to include data entry
Physical/Mental Demands:
To perform this job successfully, an individual must be able to perform each essential duty
satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to
perform the essential functions.
Essential: Communication with others to exchange or express information and ideas. Ability to receive
detailed information through oral communication, and to make fine distinctions in sounds. Determine
the accuracy, neatness, thoroughness of the work assigned and perceive general observations. Must be
able to remain in a stationary position at least 75% of the time. Extending the hands and arms in any
direction. Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer. Perform a variety of duties, often changing from one task to another of a different nature. Perform with frequent interruptions and/ or distractions. Make
appropriate job decisions following standard office policies and past precedents. Adjust priorities quickly
as circumstances dictate. Work independently and identify potentially more effective methods of work
operations. Ability to interact appropriately with colleagues for different purposes and in different
contexts.
Marginal: Needs to move inside or outside the office space to access file cabinets. Sedentary work that
includes moving objects up to 10 pounds. Observing an area that can be seen up and down or to right or
left while eyes are fixed on a given point. Ability to identify and distinguish colors.
Disclaimer: The above statements are intended to describe the general nature and level of work being
performed by people assigned to this classification. They are not intended to be construed as an
exhaustive list of all responsibilities, duties and skills required of personnel so classified. Management
reserves the right to revise the job or to require that other or different tasks be performed as assigned.
All job requirements are subject to possible revision to reflect changes in the position requirements or to
reasonably accommodate individuals with disabilities.
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