Medical Reimbursement Associate

Full Time
Mount Pleasant, SC 29464
Posted
Job description

About us

Southeastern Spine Institute and Ambulatory Surgery Center has moved to its new location on the campus of the East Cooper Medical Center at 1625 Hospital Drive.

Our new, state-of-the-art 65,000-square-foot building features six ambulatory surgery and outpatient procedure rooms with added overnight capabilities. The facility also houses larger MRIs and offers several benefits, including:

  • EMG, digital X-ray and fluoroscopy capabilities
  • Spine block
  • Minimally invasive outpatient surgery
  • In-house pharmacy
  • Physical therapy center for spine-related conditions

Our new facility also offers expanded parking and more convenient patient care for the growing Mt. Pleasant and greater Charleston-area populations.

WORLD-CLASS SPINE EXPERTISE AND TECHNOLOGY

Our new center achieves Southeastern Spine Institute's vision to offer patients the very best in spine health expertise, technology and procedures.

The Southeastern Spine Institute physician staff includes spine surgeons, neurosurgeons, sports medicine orthopedic specialists, non-surgical rehab doctors and pain management specialists.

Our work environment includes:

  • Relaxed atmosphere
  • Flexible working hours
  • Casual work attire/Scrub attire
  • Safe work environment
  • Lively atmosphere

Works to ensure reimbursement and collections for patients’ treatment expenses and also keeps track of accounts receivable and billing invoices while communicating with individuals or insurance companies to obtain reimbursement.

Primary duties include, but are not limited to:

  • Works with insurance companies to verify patient eligibility, process patients claims, and ensure payments are received properly.
  • Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted.
  • Processes charge ticket reconciliation and end of day balancing.
  • Processes co-pay insurance collection
  • Assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation.

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