ASC Billing and Denial Specialist - Revo Health

Description

The Billing Specialist is responsible for managing all aspects of accounts receivable billing for Ambulatory Surgical Centers (ASC). This role ensures accurate claim processing, timely follow-up, and effective communication with patients, insurance providers, and internal teams .

This is a full-time position working M-F from 8 : 30 am - 4 : 00 pm and will be based out of our Corporate Office in Bloomington, MN.

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

Key Responsibilities :

• Serve as the primary point of contact for patient and insurance inquiries related to receivables.
• Monitor and take timely action on claims in the PMHST workflow queue.
• Build and maintain collaborative relationships with ASC teams and affiliated physician groups.
• Review and refile rejected claims as necessary.
• Identify and resolve claim rejections using clearinghouse tools (Waystar and PMHST).
• Manage insurance denials through the workflow queue and denial management processes.
• Conduct follow-up on unprocessed insurance claims.
• Prepare and submit appeals for services that were not processed correctly.
• Review aging reports with leadership to determine next steps for unresolved claims.
• Communicate payer updates to leadership and team members.
• Maintain working knowledge of CPT and ICD-10 coding guidelines.
• Perform other duties as assigned.

Education & Experience :

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Core Values & Performance Expectations (Revo Health) :

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Additional Information :

Equal Opportunity Employer

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