Job Description
Description Join a growing ambulatory vision surgical center dedicated to providing exceptional patient care in a professional and collaborative environment. This is an opportunity to work alongside a dynamic team of surgeons and healthcare professionals in a fast-paced, collaborative outpatient surgical environment focused on innovation, precision, and outstanding patient outcomes. We are seeking an experienced, detail-oriented Anesthesia Biller to support accurate claims processing, reimbursement follow-up, and revenue cycle operations related to outpatient ophthalmologic surgical procedures. The ideal candidate will thrive in a team-oriented environment, value accuracy and efficiency, and enjoy being part of a specialized healthcare setting that makes a meaningful impact on patients every day. If you are looking for an opportunity to contribute your expertise within a professional, patient-focused surgical center and work alongside a highly skilled clinical team, we encourage you to apply and become part of our growth and success. Requirements Billing & Claims Processing Prepare, review, and submit anesthesia claims accurately and timely to commercial insurance carriers, Medicare, Medicaid, and other payers. Verify completeness and accuracy of anesthesia documentation, including: Time units Base units Physical status modifiers Provider information Diagnosis and procedure codes Ensure claims are compliant with payer guidelines, anesthesia billing regulations, and ASC billing requirements. Monitor claim status and resolve claim rejections, denials, underpayments, and payment discrepancies. Submit corrected claims, appeals, and supporting documentation as needed. Maintain accurate billing records and documentation within billing and electronic medical record systems. ASC & Ophthalmology-Specific Responsibilities Coordinate anesthesia billing processes related to outpatient ophthalmologic, and vision surgical procedures performed in the ASC setting. Review operative schedules, anesthesia records, and supporting documentation to confirm accurate case information and billing data. Understand distinctions between facility billing and professional anesthesia billing within the ambulatory surgery center environment. Work collaboratively with surgery scheduling and authorization staff to ensure insurance information and required authorizations are obtained prior to procedures. Maintain familiarity with payer requirements specific to ambulatory surgery centers and ophthalmology-related anesthesia services. Coordinate with anesthesia providers, surgeons, and facility leadership regarding documentation clarification and reimbursement matters. Accounts Receivable & Collections Conduct follow-up on unpaid, delayed, or denied claims. Research and resolve billing discrepancies and payer issues in a timely manner. Maintain aging reports and actively manage assigned accounts receivable queues. Communicate with insurance carriers regarding claim status, authorization issues, and reimbursement concerns. Respond professionally and confidentially to patient billing inquiries and payment requests. Assist with identifying trends related to denials, underpayments, or reimbursement delays. Coding & Compliance Support Collaborate with staff and providers to ensure accurate CPT, ICD-10, HCPCS, and anesthesia modifier usage. Maintain working knowledge of anesthesia billing rules, payer regulations, and ASC reimbursement methodologies. Support compliance with HIPAA and all applicable federal, state, and payer regulations. Assist with internal audits, documentation requests, and compliance reviews as needed. Maintain confidentiality of patient, financial, and operational information. Administrative Responsibilities Post payments, adjustments, refunds, and reconciliations accurately and timely. Assist with month-end reporting and reconciliation processes. Maintain organized electronic and paper billing records as required. Participate in process improvement initiatives to enhance billing efficiency, reimbursement accuracy, and workflow effectiveness. Support cross-functional communication between the billing department, anesthesia providers, surgery center staff, and facility leadership. Perform additional administrative or billing-related duties as assigned. MINIMUM QUALIFICATIONS: High school diploma or equivalent required. Minimum of seven (7) years of medical billing experience required. Minimu