Reimbursement Coordinator Hip Knee Clinic

Ascension • Austin, TX

2d • Onsite

About The Position

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

Requirements

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
• Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Nice To Haves

• Proven Reimbursement Mastery: Significant experience in medical billing, collections, or reimbursement coordination, specifically within a specialty surgical clinic.
• Surgical Scheduling Expertise: Demonstrated success in navigating the logistical complexities of scheduling and authorizing multi-stage orthopedic procedures.
• Insurance Landscape Command: Expert-level knowledge of insurance eligibility, benefit verification, and the specific nuances of orthopedic prior-authorization requirements.

Responsibilities

• Execute Strategic Surgical Authorizations by serving as the primary lead for securing medical necessity approvals for complex hip and knee procedures, ensuring all surgical cases are financially cleared prior to the date of service.
• Orchestrate High-Cost Clinical Approvals by managing the end-to-end authorization process for specialized Viscosupplementation (HA injections) and advanced diagnostic imaging, including CT scans and MRIs.
• Direct Revenue Cycle Recovery by aggressively managing AthenaHealth "Work Buckets," identifying the root cause of claim denials and resolving billing discrepancies to maximize reimbursement.
• Master Insurance Eligibility & Verification by conducting deep-dive reviews of patient benefits to provide accurate financial forecasting for high-value orthopedic surgeries.
• Synchronize Surgical Scheduling & Logistics by coordinating with providers and facilities to align authorized procedure windows with surgical staff availability.
• Champion Data Integrity by maintaining meticulous records within the EMR, ensuring all authorization numbers and clinical documentation are accurately tethered to patient accounts.

Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED