About the Role
<h3>Your future role at a glance </h3><p style="margin: 0px;"><strong>Location: </strong>Austin,Texas</p><p style="margin: 0px;"><strong>Facility: </strong>Medical Park Tower</p><p style="margin: 0px;"><strong>Department/Specialty: </strong>Hip and Knee Replacement</p><p style="margin: 0px;"><strong>Schedule: </strong>Day Shift | Monday - Friday 8:00a - 5:00p</p></br><h3>Life at Ascension: Where purpose meets opportunity </h3><p style="margin: 0px;">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.</p></br><h3>Benefits that help you thrive </h3><ul style="margin-top: 0; margin-bottom: 0;"><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Comprehensive health coverage: </span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;">medical, dental, vision, prescription coverage and HSA/FSA options</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Financial security & retirement:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> employer-matched 403(b), planning and hardship resources, disability and life insurance </span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Time to recharge:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> pro-rated paid time off (PTO) and holidays</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Career growth:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Emotional well-being:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> Employee Assistance Program</span><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #1e69d2; font-weight: 400;">,</span><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> counseling and peer support, spiritual care and stress management resources</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Family support: </span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;">parental leave, adoption assistance and family benefits</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Other benefits:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> optional legal and pet insurance, transportation savings and more</span></li></ul><p style="margin-top: 12pt; margin-bottom: 0pt;"><em><span style="font-size: 9pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;">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.</span></em></p></br><h3>How you’ll make an impact in this role </h3><ul data-path-to-node="3"><li><p style="margin: 0px;" data-path-to-node="3,0,0"><strong data-path-to-node="3,0,0" data-index-in-node="0">Execute Strategic Surgical Authorizations</strong> 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.</p></li><li><p style="margin: 0px;" data-path-to-node="3,1,0"><strong data-path-to-node="3,1,0" data-index-in-node="0">Orchestrate High-Cost Clinical Approvals</strong> by managing the end-to-end authorization process for specialized Viscosupplementation (HA injections) and advanced diagnostic imaging, including CT scans and MRIs.</p></li><li><p style="margin: 0px;" data-path-to-node="3,2,0"><strong data-path-to-node="3,2,0" data-index-in-node="0">Direct Revenue Cycle Recovery</strong> by aggressively managing <strong data-path-to-node="3,2,0" data-index-in-node="55">AthenaHealth "Work Buckets,"</strong> identifying the root cause of claim denials and resolving billing discrepancies to maximize reimbursement.</p></li><li><p style="margin: 0px;" data-path-to-node="3,3,0"><strong data-path-to-node="3,3,0" data-index-in-node="0">Master Insurance Eligibility & Verification</strong> by conducting deep-dive reviews of patient benefits to provide accurate financial forecasting for high-value orthopedic surgeries.</p></li><li><p style="margin: 0px;" data-path-to-node="3,4,0"><strong data-path-to-node="3,4,0" data-index-in-node="0">Synchronize Surgical Scheduling & Logistics</strong> by coordinating with providers and facilities to align authorized procedure windows with surgical staff availability.</p></li><li><p style="margin: 0px;" data-path-to-node="3,5,0"><strong data-path-to-node="3,5,0" data-index-in-node="0">Champion Data Integrity</strong> by maintaining meticulous records within the EMR, ensuring all authorization numbers and clinical documentation are accurately tethered to patient accounts.</p></li></ul></br><h3>What minimum requirements you’ll need </h3><p style="margin: 0px;">Education:</p><ul><li>High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.<ul><li>Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.</li></ul></li></ul></br><h3>What additional preferences we're seeking </h3><ul><li><p style="margin: 0px;" data-path-to-node="7,0,0"><strong data-path-to-node="7,0,0" data-index-in-node="0">Proven Reimbursement Mastery:</strong> Significant experience in medical billing, collections, or reimbursement coordination, specifically within a specialty surgical clinic.</p></li><li><p style="margin: 0px;" data-path-to-node="7,1,0"><strong data-path-to-node="7,1,0" data-index-in-node="0">Surgical Scheduling Expertise:</strong> Demonstrated success in navigating the logistical complexities of scheduling and authorizing multi-stage orthopedic procedures.</p></li><li><p style="margin: 0px;" data-path-to-node="7,2,0"><strong data-path-to-node="7,2,0" data-index-in-node="0">Insurance Landscape Command:</strong> Expert-level knowledge of insurance eligibility, benefit verification, and the specific nuances of orthopedic prior-authorization requirements.</p></li></ul></br><p style="margin: 0 0 10px 0;"><span style="color: #1e69d2; font-size: 18px; font-weight: bold; font-style: italic;">Equal employment opportunity employer </span></p><p style="margin: 0 0 15px 0;">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 <a href="https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf" target="_blank" rel="noopener"> EEO Know Your Rights (English) </a> poster or <a href="https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRightsSp6.12.pdf" target="_blank" rel="noopener"> EEO Know Your Rights (Spanish) </a> poster.</p><p style="margin: 0 0 10px 0;"><span style="color: #1e69d2; font-size: 18px; font-weight: bold; font-style: italic;"> Fraud prevention notice </span></p><p style="margin: 0 0 15px 0;">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.</p><p style="margin: 0 0 10px 0;"><span style="color: #1e69d2; font-size: 18px; font-weight: bold; font-style: italic;"> E-Verify statement</span></p><p style="margin: 0px;"><span style="font-family: verdana, geneva;"><span style="font-size: 9pt; color: #444444;">Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.</span></span></p>