ASC Billing & Denial Specialist - Revo Health

Revo Health • Bloomington, MN

1d • Hybrid

About The Position

The Billing & Denial 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 Monday through Friday 7:30am-4:00pm. Opportunity for hybrid to fully remote after training is completed. Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

Requirements

• High School Diploma or GED required.
• Prior experience in health insurance billing is essential
• Adhere to company policies, procedures, and ethical standards.
• Complete required training and comply with applicable laws and regulations (e.g., HIPAA, OSHA).
• Demonstrate reliable attendance and punctuality.
• Work onsite during business hours and travel independently within the clinic, office, or surgery center.
• Perform physical tasks such as bending, lifting, standing, and sitting for extended periods.
• Manage workload efficiently, handle interruptions, and meet deadlines.
• Communicate professionally and respectfully with patients, team members, and leadership.
• Prioritize tasks and adapt to changing operational needs.
• Apply logical reasoning to solve problems and follow instructions effectively.
• Operate office equipment and phone systems proficiently.
• Work independently with minimal supervision.
• Travel to other work locations as needed.

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.

Benefits

• Employees working 30+ hours per week (60 hours per pay period) are eligible for our Medical (w/Maternity Bundle), Dental & Vision plans, as well as Tuition Reimbursement.
• All employees, regardless of hours, are eligible for 401(k) w/ Profit Sharing, Employee Assistance Program, Lifetime Fitness Subsidy, Car Rental discounts, Home, Auto, & Pet insurance savings programs & more.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED