ASC Billing & Denial Specialist - Revo Health

Revo Health•Bloomington, MN

8d•$40,879 - $62,103•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 working Monday through Friday, 7:30 AM to 4:00 PM. The position offers a hybrid work opportunity based out of Bloomington, with the possibility of working fully remotely after training is completed. The role requires a high school diploma or GED and prior experience in health insurance billing. The specialist uses clearinghouse and workflow tools to address claim rejections and denials, follows up on claims, prepares appeals, reviews aging reports with leadership, and maintains working knowledge of CPT and ICD-10 coding guidelines.

Requirements

High school diploma or GED.
Prior experience in health insurance billing.
Ability to sit for extended periods, up to 8 or more hours per day.
Frequent use of hands and fingers for typing, writing, and handling documents.
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.
Ability to comply with company policies, procedures, practices, business ethics guidelines, and applicable laws and regulations.
Ability to demonstrate prompt and reliable attendance, work efficiently, manage interruptions, meet deadlines, and prioritize workload.
Professional communication and logical problem-solving skills.

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.
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.
Comply with company policies, procedures, practices, business ethics guidelines, and applicable laws and regulations, including HIPAA, Stark, OSHA, and employment laws.
Demonstrate prompt and reliable attendance; work efficiently, handle interruptions appropriately, meet deadlines, and 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.

Benefits

Medical plan with maternity bundle for employees working 30 or more hours per week (60 hours per pay period).
Dental insurance for employees working 30 or more hours per week (60 hours per pay period).
Vision insurance for employees working 30 or more hours per week (60 hours per pay period).
Tuition reimbursement for employees working 30 or more hours per week (60 hours per pay period).
401(k) profit sharing for all employees.
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 described in the company's comprehensive benefits package.