Reimbursement Coordinator Hip Knee Clinic

Location: Austin,Texas

Facility: Medical Park Tower

Department/Specialty: HipKnee Replacement

Schedule: Day Shift | Monday - Friday 8:00a - 5:00p

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.

• 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

Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.

• 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.

Education:

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

• 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.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.