ASC Billing & Denial Specialist - Revo Health

Revo Health•Bloomington, MN

7d•Hybrid

About The Position

The Billing & Denial Specialist manages accounts receivable billing for Ambulatory Surgical Centers (ASC), ensuring accurate claim processing, timely follow-up, and effective communication with patients, insurance providers, and internal teams. The role is employed by Revo Health, a professional services company that partners with healthcare groups, and works closely with Infinite Health Collaborative (i-Health) and its operating divisions. This is a full-time position scheduled Monday through Friday, 7:30 AM to 4:00 PM. The position offers a hybrid opportunity based out of Bloomington, with the option to work fully remotely after training is completed. The role requires prior health insurance billing experience and a high school diploma or GED.

Requirements

High school diploma or GED.
Prior experience in health insurance billing.
Comply with company policies, procedures, practices, and business ethics guidelines.
Comply with applicable laws and regulations, including HIPAA, Stark, OSHA, and employment laws.
Demonstrate prompt and reliable attendance.
Work efficiently and productively, handle interruptions appropriately, and meet deadlines.
Prioritize workload effectively.
Communicate respectfully and professionally in face-to-face, phone, and email interactions.
Apply logical thinking to define problems, establish facts, and draw valid conclusions.
Ability to sit for extended periods, up to eight or more hours per day.
Frequent use of hands and fingers for typing, writing, and handling documents.
Occasional standing, walking, bending, or reaching within the office environment.
Ability to lift and carry office supplies or files weighing up to 20 pounds.
Visual acuity to read electronic and paper documents, and auditory ability to participate clearly in phone or video calls.
Manual dexterity to operate standard office equipment such as a computer, phone, and printer.

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, including 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

Medical plan, including a maternity bundle, for eligible employees working 30 or more hours per week (60 hours per pay period).
Dental insurance for eligible employees working 30 or more hours per week (60 hours per pay period).
Vision insurance for eligible employees working 30 or more hours per week (60 hours per pay period).
Tuition reimbursement for eligible employees working 30 or more hours per week (60 hours per pay period).
401(k) profit sharing for all employees, regardless of hours worked.
Employee Assistance Program for all employees.
Lifetime Fitness Subsidy for all employees.
Car rental discounts for all employees.
Home, auto, and pet insurance savings programs for all employees.
Additional benefits are included in a comprehensive benefits package.